ADVANDED OBGYN WOMENS CENTER – NPI #1497283352
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

ADVANDED OBGYN WOMENS CENTER is a provider located in LOGAN, WV. NPPES has assigned the NPI number 1497283352 to ADVANDED OBGYN WOMENS CENTER on May 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANDED OBGYN WOMENS CENTER” is a dba name, the actual legal business name for this organization is ALPHA OMEGA MEDICAL PLLC. The primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was previously updated about 3 years ago on Dec 06, 2023. 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 ADVANDED OBGYN WOMENS CENTER below.

NPI Profile for
ALPHA OMEGA MEDICAL PLLC

NPI Number
1497283352
Enumeration Date

(more than 9 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
ALPHA OMEGA MEDICAL PLLC
Doing Business As (dba): ADVANDED OBGYN WOMENS CENTER
Primary location
77 HOSPITAL DR
LOGAN, WV 25601-3451
Phone: (304) 400-6262 Fax:
Mailing address
PO BOX 119
LOGAN, WV 25601-0119
Phone: Fax:
Organization Subpart
No
Authorized Official
EMAD MOUSA
DOCTOR
Phone: (304) 896-5200
Updated
Certification Date
Dec 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANDED OBGYN WOMENS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherSTATE LICENSEWV24508
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
207VX0000X
- Obstetrics & Gynecology / Obstetrics (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.