APPALACHIAN ADDICTION MEDICAL PLLC
NPI 1275008856
Anesthesiology - Addiction Medicine in Logan, WV

Q: What is Appalachian Addiction Medical PLLC's NPI number?

The NPI number for Appalachian Addiction Medical PLLC is 1275008856. It was assigned to this organization in the NPPES registry on October 10, 2018.

Q: What is Appalachian Addiction Medical PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Active since October 10, 2018

77 HOSPITAL DRIVE, SUITE 100 KRUGER BUILDING, LOGAN, WV 25601(304) 896-5200(304) 896-5300 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Appalachian Addiction Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPALACHIAN ADDICTION MEDICAL PLLC (NPI 1275008856) is a healthcare organization registered as an addiction medicine in Logan, West Virginia and active in the NPI registry since October 2018. The organization lists Emad Mousa, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1275008856

Entity TypeOrganization

Primary Taxonomy207LA0401X

Legal Business NameAPPALACHIAN ADDICTION MEDICAL PLLC

Location Address77 HOSPITAL DRIVE, SUITE 100 KRUGER BUILDINGLogan, WV 25601

Mailing Address77 Hospital Drive, Suite 100 Kruger BuildingLogan, WV 25601 · (304) 896-5200 · Fax (304) 896-5300

Phone(304) 896-5200

Fax(304) 896-5300

Organization SubpartNo

Authorized OfficialEmad MousaOwner/physician · (304) 896-5200

Enumeration DateOctober 10, 2018

✔ NPI 1275008856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LA0401X

Definition

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

77 HOSPITAL DRIVE, Logan, WV 25601

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 31

Medicare supplier enrollment and the product categories Appalachian Regional Healthcare Inc carries, from the Medicare DMEPOS supplier directory.

Appalachian Regional Healthcare Inc

DMEPOS supplier · Logan, WV

✔

Accepts Medicare assignment

Appalachian Regional Healthcare Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20305403

Medicare Participant SinceSeptember 1, 2023

Supplier Location113 Lb And T WayLogan, WV 25601

Phone(304) 852-2535

Provider TypeOxygen & Equipment

Supplier Specialties

Medical Supply Company Other MSC With Orthotic-Prosthetic

Medicare Product Categories

Continuous Passive Motion (CPM) Devices

Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines

Contracture Treatment Devices: Dynamic Splint

Dynamic splinting devices for the knee, elbow, wrist, finger, or toe

Gastric Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

Ultraviolet Light Devices and/or Supplies

Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Tracheotomy Supplies

Tracheostomy care kits

Urological Supplies

Catheters, Urinary collection devices

Enteral Nutrients

Enteral formula

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FERNANDO LUIS GONZALEZ-RAMOS MD

Internal Medicine

77 HOSPITAL DRIVE, SUITE 101
LOGAN, WV 25601

Logan County (304) 831-0450

DR. JAMES CHARLTON PAUGH II D.O.

Surgery

77 HOSPITAL DRIVE
LOGAN, WV 25601

Logan County (304) 792-1847

LOGAN HEMATOLOGY-ONCOLOGY INC

Internal Medicine (Hematology & Oncology)

77 HOSPITAL DRIVE
LOGAN, WV 25601

Logan County (304) 792-1116

LOGAN INTERNAL MEDICINE GROUP

Internal Medicine

77 HOSPITAL DRIVE, SUITE 101
LOGAN, WV 25601

Logan County (304) 831-0450

MARK ELIAS TARAKJI MD

Surgery

77 HOSPITAL DRIVE
LOGAN, WV 25601

Logan County (304) 792-1847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appalachian Addiction Medical PLLC's NPI number?

The NPI number for Appalachian Addiction Medical PLLC is 1275008856. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is Appalachian Addiction Medical PLLC located?

Appalachian Addiction Medical PLLC is located at 77 Hospital Drive Suite 100 Kruger Building, Logan, WV 25601. The listed phone number is (304) 896-5200.

What is Appalachian Addiction Medical PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Does Appalachian Addiction Medical PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Appalachian Regional Healthcare Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Appalachian Addiction Medical PLLC was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.