MEDICARE: MR. MICHAEL R GOINS MD

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
1	207Y00000X	Otolaryngology Physician	22146	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6692696	OTHER	WV	CIGNA
2	001788721	OTHER	WV	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689648842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL R GOINS MD

Provider Business Mailing Address
First Line	:	PO BOX 1628
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25326
Country	:	US
Telephone Number	:	304-342-0124
Fax Number	:	304-340-2204

Provider Business Practice Location Address
First Line	:	1311 VIRGINIA ST. E
Second Line	:	SUITE 200
City	:	CHARLESTON
State	:	WV
Zip	:	25301
Country	:	US
Telephone Number	:	304-353-0200
Fax Number	:	304-353-0337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	08/24/2023

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