Provider Demographics
NPI:1356427298
Name:GOSIEN, OSCAR PAGALIAUAN (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:PAGALIAUAN
Last Name:GOSIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 LAMPLIGHTER STREET
Mailing Address - Street 2:P.O. BOX 200
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-0200
Mailing Address - Country:US
Mailing Address - Phone:304-465-5886
Mailing Address - Fax:304-469-9877
Practice Address - Street 1:94 LAMPLIGHTER STREET
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-0200
Practice Address - Country:US
Practice Address - Phone:304-465-5886
Practice Address - Fax:304-469-9877
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV12476261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0057174000Medicaid
WVD83521Medicare UPIN
WVGOO523243Medicare ID - Type Unspecified