DEREK GOFF (NPI# 1891180741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891180741 |
Entity Type | Individual |
Full Name | DEREK GOFF |
Practice Address |
1415 6th Ave Huntington WV 25701-2420 |
Practice Telephone | 3045231142 |
Practice Fax Number | 3045232966 |
Mailing Telephone | 3045231142 |
Mailing Fax Number | 3045232966 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2020-09-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
3553 | WV | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3200 Maccorkle Ave Se Fl 5, Charleston, WV 253041227 | 3043881020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699170373 | Derek Goff | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2014-10-24 |
Street Address |
1415 6TH AVE |
City | HUNTINGTON |
State | WV |
Zip Code | 25701-2420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770544967 | Richard D Gardner | Physician Assistant | 1415 6th Ave, Huntington, WV 25701-2420 | 2006-03-29 |
1336788546 | Rachel Denea Mckinney | Nurse Practitioner | 1415 6th Ave, Huntington, WV 25701-2420 | 2020-01-06 |
1649658717 | Christina Rose Schreiber | Counselor | 1415 6th Ave, Huntington, WV 25701-2420 | 2015-05-11 |
1982953790 | L Paul Chevalier | Psychologist | 1415 6th Ave, Huntington, WV 25701-2420 | 2012-09-07 |
1225364342 | Cynthia Ann Mcmanus | Counselor | 1415 6th Ave, Huntington, WV 25701-2420 | 2009-10-23 |
1104069939 | Kelly M Dick | Psychologist | 1415 6th Ave, Huntington, WV 25701-2420 | 2009-04-09 |
1558430637 | Huntington Mental Health Associates, Inc. | Clinic/Center | 1415 6th Ave, Huntington, WV 25701-2420 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
Find all providers in zip 25701 |
Taxonomy Code | 2084B0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Behavioral Neurology & Neuropsychiatry |
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
City | HUNTINGTON |
Zip Code | 25701 |
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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.