APPALACHIAN ADDICTION MEDICAL PLLC – NPI #1275008856
Anesthesiology

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

APPALACHIAN ADDICTION MEDICAL PLLC is an anesthesiologist located in LOGAN, WV. NPPES has assigned the NPI number 1275008856 to APPALACHIAN ADDICTION MEDICAL PLLC on October 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LA0401X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for APPALACHIAN ADDICTION MEDICAL PLLC below.

NPI Profile for
APPALACHIAN ADDICTION MEDICAL PLLC

NPI Number
1275008856
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
APPALACHIAN ADDICTION MEDICAL PLLC
Primary location
77 HOSPITAL DRIVE
SUITE 100 KRUGER BUILDING
LOGAN, WV 25601
Phone: (304) 896-5200 Fax: (304) 896-5300
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMAD MOUSA
OWNER/PHYSICIAN
Phone: (304) 896-5200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LA0401X
- Anesthesiology / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.