Basic Information
| Provider Information | |||||||||
| NPI: | 1659652451 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOEL | ||||||||
| FirstName: | AKSHAY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1249 15TH ST | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257013662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046918722 | ||||||||
| FaxNumber: | 3046918591 | ||||||||
| Practice Location | |||||||||
| Address1: | 2483 HIGHWAY 644 | ||||||||
| Address2: | STE 201 | ||||||||
| City: | LOUISA | ||||||||
| State: | KY | ||||||||
| PostalCode: | 412309242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6066387399 | ||||||||
| FaxNumber: | 6066387088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2011 | ||||||||
| LastUpdateDate: | 11/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 47314 | KY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | L.3447R | AL | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | MSF1006 | WV | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 051120424 | 01 | AL | BCBS | OTHER | 132443 | 05 | AL | MEDICAID | 132444 | 05 | AL | MEDICAID | 04231505 | 05 | MS | MEDICAID | Z21049 | 01 | AL | VIVA | OTHER | 132442 | 05 | AL | MEDICAID | 3810029467 | 05 | WV | MEDICAID | 051120423 | 01 | AL | BCBS | OTHER | 051120425 | 01 | AL | BCBS | OTHER | 7100310630 | 05 | KY | MEDICAID |