Jodi M Cisco-Goff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20768 Issued in WV

Practice address

77 Hospital Dr
Logan, WV 25601-3451

Phone

(304) 792-1847

Fax

(304) 792-1849

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

JC Edwards School of Medicine, Marshall University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Logan Regional Medical Center Hospital, Logan, WV, CCN 510048

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  Surgery, WV

  Medicare reassignment Care Compare group NPD
• University Physicians & Surgeons, Inc.

  • Health & Wellness Coach
  • Louisa, KY
  • NPI 1073256665
  Care Compare group NPD
• Logan General Hospital LLC

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565
  NPD (past)
• University Physicians & Surgeons, Inc.

  • Cardiovascular Disease Physician
  • Logan, WV
  • NPI 1770533564

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Logan General Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Logan, WV
  • NPI 1295789675

  Hospital

  Care Compare affiliation
• Logan General Hospital LLC

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1497714737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE 2500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1200",
            "fax_number": "304-691-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013451",
            "telephone_number": "304-792-1847",
            "fax_number": "304-792-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISCO-GOFF",
        "first_name": "JODI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "20768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64050750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812173000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327762",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi.cisco-goff@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "77 Hospital Dr",
            "city": "Logan",
            "state": "WV",
            "country_code": "US",
            "postal_code": "256013451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Danielle Chambers
• Hailey Nicole Chambers
• Jennifer Chia-Shin Chang, DO
• Michael Shawn Cheek
• Sherry Church
• Skyler Reed Clemons
• Bethony Jill Click, M.ED.
• Sidney Jerome Cline, APRN
• Tabatha Cline
• Martin L. Codispoti, FNP-BC

• All providers in Logan, WV
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.