JODI M CISCO-GOFF (NPI# 1497714737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497714737 |
| Entity Type | Individual |
| Full Name | JODI M CISCO-GOFF |
| Credential | MD |
| Practice Address |
77 Hospital Dr Logan WV 25601-3451 |
| Mailing Address |
1600 Medical Center Dr Suite 2500 Huntington WV 25701-3656 |
| Practice Telephone | 3047921847 |
| Practice Fax Number | 3047921849 |
| Mailing Telephone | 3046911200 |
| Mailing Fax Number | 3046911287 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 20768 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64050750 | 05 | |
| WV | 1812173000 | 05 | |
| OH | 2327762 | 05 |
| Street Address |
77 HOSPITAL DR |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019997 | Michael Brian Beres | Ophthalmology | 77 Hospital Dr, Suite 400, Logan, WV 25601-3451 | 2005-11-02 |
| 1497283352 | Alpha Omega Medical Pllc | Obstetrics & Gynecology | 77 Hospital Dr, Logan, WV 25601-3451 | 2017-05-23 |
| 1396092508 | Nicole Lackey Dillon, Md, Inc | Family Medicine | 77 Hospital Dr, Doctors Park Suite D, Logan, WV 25601-3451 | 2012-08-07 |
| 1629295340 | Premier Diagnostic Solutions | Radiology | 77 Hospital Dr, Ste 300, Logan, WV 25601-3451 | 2007-04-20 |
| 1518058817 | Vision Consultants Pllc | Ophthalmology | 77 Hospital Dr, Suite 400, Logan, WV 25601-3451 | 2006-09-28 |
| 1013940196 | Carlton L W Herald Do PC Inc | Internal Medicine | 77 Hospital Dr, Suite 100, Logan, WV 25601-3451 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928147 | Total Concept Health Care | Surgery | 920 N 200 W, Suite A, Logan, UT 84321-3200 | 2008-04-02 |
| 1770533564 | University Physicians & Surgeons, Inc. | Surgery | 77 Hospital Drive, Kruger Medical Plaza, Suite 201, Logan, WV 25601 | 2006-05-11 |
| 1285638957 | Michael S Tornwall | Surgery | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2005-06-09 |
| 1821495334 | Ihc Health Services Inc | Surgery | 1350 N 500 E, Logan, UT 84341-2400 | 2014-11-26 |
| 1053610279 | Logan Reed Mckenna | Surgery | 1350 N 500 E, Logan, UT 84341 | 2011-03-28 |
| 1891929022 | Deanne Long Md LLC | Surgery | 2380 N 400 E, Logan, UT 84341-6000 | 2009-05-01 |
| 1083866511 | James Charlton Paugh II | Surgery | 20 Hospital Dr, Kruger Building, Suite 300, Logan, WV 25601-3452 | 2008-10-15 |
| 1982875878 | Cache Valley Surgical Consultants, PC | Surgery | 550 E 1400 N, Suite D, Logan, UT 84341-2406 | 2008-03-18 |
| 1427227768 | Lee S. Broadbent, M.d. Apc | Surgery | 550 E 1400 N, Suite D, Logan, UT 84341-2406 | 2008-02-20 |
| 1013134550 | Gregg Arthur Marshall | Surgery | 1350 N 500 E, Logan, UT 84341-2400 | 2007-04-19 |
| Find all providers in LOGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.