| Mr Jory Christopher James Gotham, PA-C | |
|
4607 Maccorkle Ave Sw Ste 401, South Charleston, WV 25309-1364 | |
| (304) 414-2120 | |
| Not Available |
| Full Name | Mr Jory Christopher James Gotham |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4607 Maccorkle Ave Sw Ste 401, South Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528437357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 819 (West Virginia) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 819 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| St Francis Hospital | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ths Physician Partners Inc | 9537316393 | 141 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jory Christopher James Gotham, PA-C 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 414-4800 | Mr Jory Christopher James Gotham, PA-C 4607 Maccorkle Ave Sw Ste 401, South Charleston, WV 25309-1364 Ph: (304) 414-2120 |
Dustin Crites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 Fax: 304-766-3477 | |
Mr. Geno Anthony Santangelo Jr., P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-389-7914 | |
Gregory Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530 | |
Mrs. Lori Jane Rainey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 | |
Aris L Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-521-3612 | |
Natalie R Beeson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 Fax: 304-766-5474 | |
Erik James Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Division St, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849 |