John A. Goddard
Interventional Cardiology
600 18th St Suite 512
Parkersburg
, West Virginia 26101-3231
John A. Goddard
Interventional Cardiology
600 18th St Suite 512
Parkersburg
, West Virginia 26101-3231
(304) 424-4429
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- John A. Goddard
- 600 18th St Suite 512
- Parkersburg, WV
- Zip : 26101-3231
- Fax : (304) 424-4429
- Phone : (304) 424-4574
Second Address
- John A. Goddard
- 600 18th St Suite 512
- Parkersburg, WV
- Zip : 26101-3231
- Fax : (304) 424-4429
- Phone : (304) 424-4574
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | 20468 | WV |
National Provider Identifier
| NPI | 1063489425 |
|---|---|
| Provider Name | John A. Goddard |
| First Address | Parkersburg, WV 26101-3231 |
| Second Address | Parkersburg, WV 26101-3231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2006 |
| Last Update Date | 13/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3810002047 | (05) | WV |
| I29057 | (02) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.