ALPHA OMEGA MEDICAL PLLC NPI 1497283352

NPI Information

  • NPI: 1497283352
  • Provider Name: ALPHA OMEGA MEDICAL PLLC
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Organization
  • Doing Business As: ADVANDED OBGYN WOMENS CENTER
  • CLIA Number: 51D2133749
  • Address: 77 HOSPITAL DR
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 400-6262

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NPI Details

ALPHA OMEGA MEDICAL PLLC is an obstetrics obstetrics gynecology in Logan, WV. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee ALPHA OMEGA MEDICAL PLLC NPI is 1497283352. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanded Obgyn Womens Center.

The provider's business location address is:

77 HOSPITAL DR
LOGAN, WV
ZIP 25601-451
Phone: (304) 400-6262

The provider's authorized official is Emad Mousa .
The authorized official title is Doctor and has the following contact phone number (304) 896-5200.

The CLIA number assigned to this NPI record is 51D2133749 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/23/2017 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124508OTHERWEST VIRGINIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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