Organization Active NPI

Henry P. Gosiene,M.D.,P.C.

  • Ophthalmology Physician
  • Beckley, WV
National Provider Identifier
1669511135
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00603 Issued in WV
Legal business name
HENRY P. GOSIENE,M.D.,P.C.
Practice address
22 Mallard CT
Beckley, WV 25801-3615
Phone
(304) 252-4216
Fax
(304) 253-6809
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Henry P Gosiene, M.D.
Title
Owner
Phone
(304) 252-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 00603 WV Primary

Addresses

Primary practice location

22 Mallard CT
Beckley, WV 25801-3615

Mailing address

22 Mallard CT
Beckley, WV 25801-3615
Phone (304) 252-4216

Other identifiers 7

IdentifierTypeStateIssuer
1043213762OtherNPI HENRY P GOSIENE M.D.
9188541OtherMEDICARE ID
1437241346OtherTAOUFIK SADAT M.D. , NPI
CJ9809OtherRAILROAD MEDICARE
0095654001MedicaidWV
0240042000MedicaidWV
0425002OtherMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1669511135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-252-4216",
            "fax_number": "304-253-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-252-4216",
            "fax_number": "304-253-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY P. GOSIENE,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "GOSIENE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-252-4216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "00603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI HENRY P GOSIENE M.D.",
            "identifier": "1043213762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "9188541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAOUFIK SADAT M.D. , NPI",
            "identifier": "1437241346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ9809",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095654001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240042000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0425002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.