1. Home
  2. Directory
  3. West Virginia
  4. Morgantown
  5. Psychiatry Neurology
  6. NPI Profile

FAIRMONT NEUROLOGY CLINIC, PLLC
NPI 1609974641
Psychiatry & Neurology - Neurology in Morgantown, WV

Active since September 21, 2006
1188 PINEVIEW DR STE 100, MORGANTOWN, WV 26505(681) 285-8755(304) 825-6577 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairmont Neurology Clinic, Pllc NPPES

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

FAIRMONT NEUROLOGY CLINIC, PLLC (NPI 1609974641) is a healthcare organization registered as a neurology in Morgantown, West Virginia and active in the NPI registry since September 2006. The organization lists Mouhannad Azzouz, Owner, as its authorized official.

NPPES Registry Identity

NPI1609974641
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameFAIRMONT NEUROLOGY CLINIC, PLLC
Location Address1188 PINEVIEW DR STE 100Morgantown, WV 26505-2712
Mailing AddressPo Box 333Pursglove, WV 26546-0333 · (681) 285-8755 · Fax (304) 825-6577
Phone(681) 285-8755
Fax(304) 825-6577
Organization SubpartNo
Authorized OfficialMouhannad AzzouzOwner · (304) 598-7000
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1609974641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WV · WV20408
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1188 PINEVIEW DR STE 100, Morgantown, WV 26505
Open in Google Maps ↗

Other Identifiers 4

OtherWV20408WV · The Health Plan
Other7787352WV · Aetna
Other001721746WV · Blue Cross Blue Shield
Medicaid1807858000WV

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

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Internal Medicine (Sleep Medicine)
1188 PINEVIEW DR STE 100
MORGANTOWN, WV 26505
Monongalia County (304) 599-7934

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 Fairmont Neurology Clinic, PLLC's NPI number?

The NPI number for Fairmont Neurology Clinic, PLLC is 1609974641. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Fairmont Neurology Clinic, PLLC located?

Fairmont Neurology Clinic, PLLC is located at 1188 Pineview Dr Ste 100, Morgantown, WV 26505. The listed phone number is (681) 285-8755.

What is Fairmont Neurology Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

What insurance does Fairmont Neurology Clinic, PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Fairmont Neurology Clinic, 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 Fairmont Neurology Clinic, PLLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.