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ADVANDED OBGYN WOMENS CENTER
NPI 1497283352
Obstetrics & Gynecology - Obstetrics in Logan, WV

Active since May 23, 2017CLIA 51D2133749 · Microscopy
77 HOSPITAL DR, LOGAN, WV 25601(304) 400-6262 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2023, May 23, 2017 (2 updates tracked since 2017).

About Advanded Obgyn Womens Center NPPES

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

ADVANDED OBGYN WOMENS CENTER (NPI 1497283352) is a healthcare organization registered as an obstetrics in Logan, West Virginia and active in the NPI registry since May 2017. The organization holds a CLIA Microscopy certificate valid through August 11, 2026 and lists Emad Mousa, Doctor, as its authorized official.

NPPES Registry Identity

NPI1497283352
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameALPHA OMEGA MEDICAL PLLC
Location Address77 HOSPITAL DRLogan, WV 25601-3451
Mailing AddressPo Box 119Logan, WV 25601-0119
Phone(304) 400-6262
Organization SubpartNo
Authorized OfficialEmad MousaDoctor · (304) 896-5200
Enumeration DateMay 23, 2017
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1497283352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
77 HOSPITAL DR, Logan, WV 25601
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Other Names 1

Doing Business AsAdvanded Obgyn Womens Center

Other Identifiers 1

Other24508WV · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 51D2133749

Alpha Omega Medical PLLC · Logan, WV
Active · expires Aug 11, 2026
CLIA Number51D2133749
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDr. Emad Mousa
Laboratory Phone(304) 896-5200
Laboratory LocationAlpha Omega Medical PLLC77 Hospital Dr Suite 100, Logan, WV 25601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

CARLTON L W HERALD DO PC INC
Internal Medicine
77 HOSPITAL DR, SUITE 100
LOGAN, WV 25601
Logan County (304) 831-2061
JENNA MARIE HAGER APRN
Nurse Practitioner (Family)
77 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 896-5200
MICHAEL BRIAN BERES MD
Ophthalmology
77 HOSPITAL DR, SUITE 400
LOGAN, WV 25601
Logan County (304) 792-1480
NICOLE LACKEY DILLON, MD, INC
Family Medicine
77 HOSPITAL DR, DOCTORS PARK SUITE D
LOGAN, WV 25601
Logan County (304) 752-9290
JODI M CISCO-GOFF MD
Surgery
77 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 792-1847
VISION CONSULTANTS PLLC
Ophthalmology
77 HOSPITAL DR, SUITE 400
LOGAN, WV 25601
Logan County (304) 792-1480
PREMIER DIAGNOSTIC SOLUTIONS
Radiology (Diagnostic Radiology)
77 HOSPITAL DR, STE 300
LOGAN, WV 25601
Logan County (304) 792-1259

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 Alpha Omega Medical PLLC's NPI number?

The NPI number for Alpha Omega Medical PLLC is 1497283352. It was assigned to this organization in the NPPES registry on May 23, 2017. The provider is doing business as Advanded Obgyn Womens Center.

Where is Alpha Omega Medical PLLC located?

Alpha Omega Medical PLLC is located at 77 Hospital Dr, Logan, WV 25601. The listed phone number is (304) 400-6262.

What is Alpha Omega Medical PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Does Alpha Omega Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D2133749) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alpha Omega Medical PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Alpha Omega Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alpha Omega Medical PLLC was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.