Gilbert Goliath MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GILBERT GOLIATH MD PLLC

Practice address

4607 Maccorkle Ave SW Suite 400
South Charleston, WV 25309

Phone

(304) 766-3988

Fax

(304) 766-3984

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Gilbert O Goliath, MD

Title

Owner

Phone

(304) 766-3988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda G Burdette, P.A.-C.

  • Physician Assistant
  • South Charleston, WV
  • NPI 1316112030
  NPD (past)

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1700126257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW SUITE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-3988",
            "fax_number": "304-766-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW SUITE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-3988",
            "fax_number": "304-766-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT GOLIATH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "GOLIATH",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-766-3988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Gibson
• Jessica Gibson
• Leo Berman Gibson Jr., RETIRED
• Lizajane Gibson
• Shayla Renee Gibson
• Jaylne Gilkerson
• Chelsey Leann Gillenwater
• Patricia Gillispie
• Lyubov Girshovich, MD
• Taliece Givantt

• Specialist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.