Todd H Goldberg Geriatric Medicine
400 Court St, Old Cagney Ob/gyn, Charleston, WV 25301-1652


Todd H Goldberg is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1639122492. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8921197625. The primary specialty is GERIATRIC MEDICINE. The organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION. The address is 400 Court St, Old Cagney Ob/gyn, Charleston, WV 25301-1652. The zip code is 25301.


Todd H Goldberg · 400 Court St, Old Cagney Ob/gyn, Charleston, WV 25301-1652

Nation Provider ID 1639122492
PAC ID by PECOS 8921197625
Professional Enrollment ID I20071204000049
Last Name GOLDBERG
First Name TODD
Middle Name H
Gender M
Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty GERIATRIC MEDICINE
Secondary Specialties INTERNAL MEDICINE
Primary Specialty WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION
Phone Number 3043442391
Group Practice PAC ID 2062318272
Number of Group Practice Members 93
Address 400 COURT ST
OLD CAGNEY OB/GYN
CHARLESTON, WV 253011652
Claims Based Hospital Affiliation Claim Control Number (CCN): 510022
Legal Business Name: CHARLESTON AREA MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 510012
Legal Business Name: PLEASANT VALLEY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 510029
Legal Business Name: THOMAS MEMORIAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 510031
Legal Business Name: ST FRANCIS HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

West Virginia University Medical Corporation Charleston Division · Medicare Physician

Name Address Specialty
Byron Calhoun 800 Pennsylvania Ave, Charleston, WV 25302-3351 OBSTETRICS/GYNECOLOGY
Rebecca Claxton 501 Morris St 3rd Fl E, Charleston, WV 25301-1300 NURSE PRACTITIONER
Miguel Matos 1201 Washington St E, Charleston, WV 25301-1898 GENERAL SURGERY
James Campbell 501 Morris St 3rd Fl E, Charleston, WV 25301-1300 INTERNAL MEDICINE
Micheal Hall 501 Morris St 3rd Fl E, Charleston, WV 25301-1300 GENERAL SURGERY
John Deluca 501 Morris St 3rd Fl E, Charleston, WV 25301-1300 GENERAL SURGERY
Robert Depond 501 Morris St, Charleston, WV 25301-1300 OBSTETRICS/GYNECOLOGY
John Campbell 501 Morris St 3rd Fl E, Charleston, WV 25301-1300 VASCULAR SURGERY
Todd Witsberger 501 Morris St, Charleston, WV 25301-1300 GENERAL SURGERY
Thomas Dickey 333 Laidley St, Charleston, WV 25301-1628 PSYCHIATRY
Francis Hunter 400 Court St, Charleston, WV 25301-1652 OBSTETRICS/GYNECOLOGY
Ryan Cook 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 PSYCHIATRY
Joshua Cusick-lewis 400 Court St, Charleston, WV 25301-1652 FAMILY PRACTICE
James Lohan 501 Morris St, Charleston, WV 25301-1300 COLORECTAL SURGERY (PROCTOLOGY)
Roberto Kusminsky 400 Court St, Charleston, WV 25301-1652 GENERAL SURGERY
Michael Schiano 830 Pennsylvania Ave, Charleston, WV 25302-3398 GYNECOLOGICAL ONCOLOGY
Bryan Richmond 333 Laidley St, Charleston, WV 25301-1628 GENERAL SURGERY
Amanda Campbell 400 Court St, Charleston, WV 25301-1652 NURSE PRACTITIONER
Ujjal Sandhu 501 Morris St, Charleston, WV 25301-1300 OBSTETRICS/GYNECOLOGY
Shawn Chillag 501 Morris St 3rd Fl E, Charleston, WV 25301-1300 INTERNAL MEDICINE

Zip 25301 · Medicare Physician

Name Address Specialty
Gina Diddle 501 Morris St, Charleston, WV 25301-1326 NURSE PRACTITIONER
Muhammad Mian 415 Morris St, Charleston, WV 25301-1853 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Annette Cooper 501 Morris St, Charleston, WV 25301-1326 CERTIFIED REGISTERED NURSE ANESTHETIST
Morgan Meeks 501 Morris St, Charleston, WV 25301-1326 PHYSICIAN ASSISTANT
Joseph Brown 331 Laidley St, Charleston, WV 25301-1605 OPHTHALMOLOGY
Sheila Loftis 1306 Kanawha Blvd E, Charleston, WV 25301-3000 CERTIFIED REGISTERED NURSE ANESTHETIST
Timothy Prescott 415 Morris St, Charleston, WV 25301-1853 PHYSICIAN ASSISTANT
Alberta Maloof 333 Laidley St, Charleston, WV 25301-1614 DIAGNOSTIC RADIOLOGY
John Anton 1120 Kanawha Blvd E, Charleston, WV 25301-2400 DIAGNOSTIC RADIOLOGY
Steven Jubelirer 501 Morris St, Charleston, WV 25301-1326 HEMATOLOGY/ONCOLOGY
Christopher Schlarb 1120 Kanawha Blvd E, Charleston, WV 25301-2400 DIAGNOSTIC RADIOLOGY
Angie Haynes 501 Morris St, Charleston, WV 25301-1326 CERTIFIED REGISTERED NURSE ANESTHETIST
Geno Santangelo 333 Laidley St, Charleston, WV 25301-1614 PHYSICIAN ASSISTANT
Dorothee Miano 500 Donnally St, Charleston, WV 25301-1638 AUDIOLOGIST
David Williams 600 Morris St, Charleston, WV 25301-1409 OBSTETRICS/GYNECOLOGY
Augusta Kosowicz 501 Morris St, Charleston, WV 25301-1326 PHYSICIAN ASSISTANT
Carol Freas 501 Morris St, Charleston, WV 25301-1300 PSYCHIATRY
Tara Miller 501 Morris St, Charleston, WV 25301-1326 NURSE PRACTITIONER
Sylvia Myndresku 333 Laidley St, Charleston, WV 25301-1614 NURSE PRACTITIONER
Leonard Allen 1215 Virginia St E, Charleston, WV 25301-2908 MAXILLOFACIAL SURGERY