Gilbert Goliath, MD | |
4607 Maccorkle Ave Sw Ste 400, South Charleston, WV 25309-1364 | |
(304) 766-3988 | |
(304) 766-3984 |
Full Name | Gilbert Goliath |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4607 Maccorkle Ave Sw Ste 400, South Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437155991 | NPI | - | NPPES |
0106975000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15811 (West Virginia) | Primary |
Entity Name | Ths Physician Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
Mailing Address | Practice Location Address |
---|---|
Gilbert Goliath, MD 1827 Devondale Cir, Charleston, WV 25314-2205 Ph: (304) 345-4326 | Gilbert Goliath, MD 4607 Maccorkle Ave Sw Ste 400, South Charleston, WV 25309-1364 Ph: (304) 766-3988 |
Dr. Kara Michelle White, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 | |
Melanie Anne Winnings, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 | |
Dr. Clark Edwin Childers Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, WV 25309 Phone: 304-767-7930 Fax: 304-767-7935 | |
Sharmila Matcheswalla Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 | |
Surya N Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4803 Kentucky Street, Camc Pediatric Neurology, South Charleston, WV 25309 Phone: 304-766-7695 Fax: 603-663-3229 | |
Eric Crayton Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 |