ALPHA OMEGA MEDICAL PLLC — NPI 1497283352 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in LOGAN, WV)

CMS-1500 Box 24J / 33a • NPI

1497283352

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207VX0000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

77 HOSPITAL DR, LOGAN, WV, 25601-3451

✓ 9-Digit EDI 837 ZIP+4 (25601-3451)

Practice Phone & Referral Fax

(304) 400-6262

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497283352 (ALPHA OMEGA MEDICAL PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497283352` (NPI-2 Organization / Facility)
Provider / Legal Name	ALPHA OMEGA MEDICAL PLLC
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207VX0000X` (Obstetrics & Gynecology, Obstetrics)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	77 HOSPITAL DR, LOGAN, WV, 25601-3451
Practice Telephone / Fax	Tel: (304) 400-6262
Administrative Mailing Address	PO BOX 119, LOGAN, WV, 25601-0119
Enumeration & Last Sync	Enumerated: 2017-05-23 \| CMS Record Updated: 2023-12-06
Authorized Official	EMAD MOUSA (Doctor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

77 HOSPITAL DR, LOGAN, WV, 25601-3451

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Plain-English Taxonomy & CMS Crosswalk (207VX0000X)

What Does Taxonomy Code 207VX0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207VX0000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALPHA OMEGA MEDICAL PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207VX0000X` — Obstetrics & Gynecology, Obstetrics Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALPHA OMEGA MEDICAL PLLC (NPI #1497283352)