Toni Goodykoontz, M.D., P.L.L.C.

Key facts

NPI

1750465282

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatry Physician 2084P0800X

Legal business name

TONI GOODYKOONTZ, M.D., P.L.L.C.

Practice address

1514 Buckhannon Pike
Nutter Fort, WV 26301-4410

Phone

(304) 622-8511

Fax

(304) 622-8542

NPI assigned

Oct 24, 2006

Organization subpart

No

Authorized official

Name

M Gail Davis

Title

Office Manager/Partner

Phone

(304) 622-8511

Practitioners 2

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

• Toni B Goodykoontz, M.D. Psychiatry Physician · Bridgeport, WV · NPI 1659378354
  NPD (past) PSYCHIATRY
• Robin A. Haught, PA-C Physician Assistant · Nutter Fort, WV · NPI 1477637999
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750465282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 BUCKHANNON PIKE",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014410",
            "telephone_number": "304-622-8511",
            "fax_number": "304-622-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 BUCKHANNON PIKE",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014410",
            "telephone_number": "304-622-8511",
            "fax_number": "304-622-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI GOODYKOONTZ, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER/PARTNER",
        "authorized_official_telephone_number": "304-622-8511"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115011000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutter Fort, WV

• RSCR West Virginia, Inc.
• Kelly Jo Shuman, MT
• Rebecca Sigley
• Alisha Simms
• Samyra Somazze, PHARMD
• Town of Nutter Fort
• United Physicians Care Inc
• Nicholas Vilianco
• Voca Corporation of West Virginia, Inc.
• Walgreen Co

All providers in Nutter Fort, WV · Psychiatry Physician in West Virginia