Jodi M Cisco-Goff is a Surgery in Logan, . Jodi M Cisco-Goff practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jodi M Cisco-Goff is 1497714737. The last update date is 2021-12-03.
Jodi M Cisco-Goff's current location address is 77 Hospital Dr, Logan, . You can contact this provider via phone number 3047921847 and fax number 3047921849. The mailing address for Jodi M Cisco-Goff is 77 Hospital Dr, Logan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi M Cisco-Goff |
|---|---|
| Address | 77 Hospital Dr, Logan, |
| Phone Number | 3047921847 |
| Fax Number | 3047921849 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497714737 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 77 Hospital Dr |
|---|---|
| City | Logan |
| State | (WV) |
| Post Code | 256013451 |
| Phone Number | 3047921847 |
| Fax Number | 3047921849 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 20768 |
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Definition: 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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64050750 | KY | -- | |
| 1812173000 | WV | -- | |
| 2327762 | OH | -- |
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What is the Jodi M Cisco-Goff's unique identification number?
The Jodi M Cisco-Goff has been assigned the NPI (National Provider Identifier) Number 1497714737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jodi M Cisco-Goff's physical address?
The Jodi M Cisco-Goff is physically located at 77 Hospital Dr, in the city of Logan, WV, with the postal code 256013451.
What is the Jodi M Cisco-Goff's area of specialization and corresponding taxonomy classification?
The Jodi M Cisco-Goff's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Jodi M Cisco-Goff receive its 1497714737 assignment from the Centers for Medicare & Medicaid Services?
The Jodi M Cisco-Goff was assigned its 1497714737 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the information regarding Jodi M Cisco-Goff, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jodi M Cisco-Goff, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-03.