Amanda Gooch
Individual provider Active NPI Specialist · Scott Depot, WV
NPI 1235026014 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1235026014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 6979 Teays Valley Rd
Scott Depot, WV 25560-7097 - Phone
- (681) 235-7156
- NPI assigned
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Station, Inc. | Current |
Accepting new patients |
Locations
6979 Teays Valley Rd
Scott Depot, WV 25560
Phone (681) 235-7156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
6979 Teays Valley Rd
Scott Depot, WV 25560-7097
Mailing address
PO Box 977
Hurricane, WV 25526-0977
Phone (681) 235-7156
Other providers in Scott Depot, WV
- Lauren Gandee
- Annette Gaskins
- Ghareeb,DDS, PC
- Emily Henley Gibson
- Grace Ann Gibson
- Beverly Graham
- Kayla Greene
- Dawn Lynn Grigsby
- Ashley R Grimmett
- Alexis Grose
All providers in Scott Depot, WV · Specialist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.