Individual
JAMES CHRISTOPHER GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-6825
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17206
WV
207R00000X
Internal Medicine Physician
Primary
49116
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075599000
—
WV
05
—
0921462
—
OH
01
—
110072402
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
10/25/2021
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