| Robert L Goodson, CRNA | |
|
230 Hospital Plz, Weston, WV 26452-8558 | |
| (304) 269-8000 | |
| Not Available |
| Full Name | Robert L Goodson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 230 Hospital Plz, Weston, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780178111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 83749 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stonewall Jackson Memorial Hospital | Weston, WV | Hospital |
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stonewall Jackson Memorial Hospital Company | 4284530551 | 48 |
| United Anesthesia, Inc. | 6406830256 | 41 |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Entity Name | Stonewall Jackson Memorial Hospital Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477559433 PECOS PAC ID: 4284530551 Enrollment ID: O20040130000739 |
| Entity Name | United Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477512408 PECOS PAC ID: 6406830256 Enrollment ID: O20040617000953 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Goodson, CRNA 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (304) 285-7101 | Robert L Goodson, CRNA 230 Hospital Plz, Weston, WV 26452-8558 Ph: (304) 269-8000 |
Jack Charles Marcum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Brenda K Marcum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8090 Fax: 304-269-8090 | |
Justin David Smallridge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Michael Lee Casto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Larry Eugene Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 |