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NPI Code Detail

MEDICARE: HENRY P. GOSIENE,M.D.,P.C.

MEDICARE: HENRY P. GOSIENE,M.D.,P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician00603WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
29188541OTHERMEDICARE ID
4CJ9809OTHERRAILROAD MEDICARE
70425002OTHERMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11043213762OTHERNPI HENRY P GOSIENE M.D.
31437241346OTHERTAOUFIK SADAT M.D. , NPI
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669511135
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENRY P. GOSIENE,M.D.,P.C.
Provider Business Mailing Address
First Line : 22 MALLARD CT
Second Line :
City : BECKLEY
State : WV
Zip : 25801-3615
Country : US
Telephone Number : 304-252-4216
Fax Number : 304-253-6809
Provider Business Practice Location Address
First Line : 22 MALLARD CT
Second Line :
City : BECKLEY
State : WV
Zip : 25801-3615
Country : US
Telephone Number : 304-252-4216
Fax Number : 304-253-6809
Authorized Official
Title or Position : OWNER
Name : HENRY P GOSIENE
Credential : M.D.
Telephone Number : 304-252-4216
Provider Enumeration Date : 02/05/2007
Last Update Date : 12/17/2007

Similar Medicare Providers

1043213762 — DR. HENRY P GOSIENE MD
Practice Location Address:
22 MALLARD CT
BECKLEY, WV
25801-3615
Practice Phone: 304-252-4216
Practice Fax: 304-253-6809
1750489225 — MALLARD MEDICAL SERVICES INC
Practice Location Address:
20 MALLARD CT
BECKLEY, WV
25801-3615
Practice Phone: 304-255-6651
Practice Fax: 304-255-6616
1437241346 — DR. TAOUFIK A SADAT MD
Practice Location Address:
22 MALLARD CT
BECKLEY, WV
25801-3615
Practice Phone: 304-252-4216
Practice Fax: 304-253-6809
1548466295 — MALLARD MEDICAL SERVICES INC
Practice Location Address:
20 MALLARD CT
BECKLEY, WV
25801-3615
Practice Phone: 304-255-6651
Practice Fax:
1770742199 — TAOUFIK A. SADAT, MD
Practice Location Address:
22 MALLARD CT
BECKLEY, WV
25801-3615
Practice Phone: 304-252-6274
Practice Fax: 304-252-6274
1184983694 — TAOUFIK A SADAT
Practice Location Address:
22 MALLARD CT
BECKLEY, WV
25801-3615
Practice Phone: 304-252-4216
Practice Fax: 304-253-6809

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