ADVANDED OBGYN WOMENS CENTER
NPI 1497283352
Obstetrics & Gynecology - Obstetrics in Logan, WV
NPI Status: Active since May 23, 2017
- Organization
- Obstetrics & Gynecology
- Obstetrics
- Accepts Insurance
- CLIA Number: 51D2133749
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-11-2026
About ADVANDED OBGYN WOMENS CENTER
This page provides the complete NPI Profile along with additional information for Advanded Obgyn Womens Center, a women's health care provider established in Logan, West Virginia operating as a Obstetrics & Gynecology, focusing in obstetrics . The healthcare provider is registered in the NPI registry with number 1497283352 assigned on May 2017. The practitioner's primary taxonomy code is 207VX0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Advanded Obgyn Womens Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Advanded Obgyn Womens Center. The authorized official of this NPI record is Dr. Emad Mousa Md (Doctor)
- NPI
- 1497283352
- Provider Legal Name
- ALPHA OMEGA MEDICAL PLLC
- Other Organization Name
- ADVANDED OBGYN WOMENS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 77 HOSPITAL DR LOGAN, WV 25601
- Location Phone
- (304) 400-6262
- Mailing Address
- PO BOX 119 LOGAN, WV 25601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2017
- Last Update Date
- 12-06-2023
- Code Navigator
Women's health care providers like Advanded Obgyn Womens Center treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Obstetrics
- Taxonomy Code
- 207VX0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Deductible Silver 4500 $3 Generic Drugs - HMO
- Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24508 | OTHER (01) | WV | STATE LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2133749
- Facility Type
- Physician Office
- Certificate Effective Date
- August 12, 2024
- Certificate Expiration Date
- August 11, 2026
- Laboratory Director
- DR. EMAD MOUSA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Advanded Obgyn Womens Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 8 | 3 | 3 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 8 | 6 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 8 + 6 + 3 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1497283352 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124019997 | MICHAEL BRIAN BERES MD Individual | Ophthalmology | 77 HOSPITAL DR SUITE 400 LOGAN, WV 25601 (304) 792-1480 |
| 1013940196 | CARLTON L W HERALD DO PC INC Organization | Internal Medicine | 77 HOSPITAL DR SUITE 100 LOGAN, WV 25601 (304) 831-2061 |
| 1629295340 | PREMIER DIAGNOSTIC SOLUTIONS Organization | Radiology (Diagnostic Radiology) | 77 HOSPITAL DR STE 300 LOGAN, WV 25601 (304) 792-1259 |
| 1093391260 | JENNA MARIE HAGER APRN Individual | Nurse Practitioner (Family) | 77 HOSPITAL DR LOGAN, WV 25601 (304) 896-5200 |
| 1497714737 | JODI M CISCO-GOFF MD Individual | Surgery | 77 HOSPITAL DR LOGAN, WV 25601 (304) 792-1847 |
| 1396092508 | NICOLE LACKEY DILLON, MD, INC Organization | Family Medicine | 77 HOSPITAL DR DOCTORS PARK SUITE D LOGAN, WV 25601 (304) 752-9290 |
| 1518058817 | VISION CONSULTANTS PLLC Organization | Ophthalmology | 77 HOSPITAL DR SUITE 400 LOGAN, WV 25601 (304) 792-1480 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497283352, enumerated in the NPI registry as an "organization" on May 23, 2017
The provider is located at 77 Hospital Dr Logan, Wv 25601 and the phone number is (304) 400-6262
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VX0000X with a focus in Obstetrics
The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D2133749 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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