ABDEL-FATAH MASSOUD (NPI# 1396705307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396705307 |
| Entity Type | Individual |
| Full Name | ABDEL-FATAH MASSOUD |
| Credential | MD,MPH |
| Practice Address |
1 Medical Center Drive Fairmont WV 26301 |
| Practice Telephone | 3046233461 |
| Practice Fax Number | 3046267010 |
| Mailing Telephone | 3046233461 |
| Mailing Fax Number | 3046267010 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
16739 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730360918 | Charleston Neurology Assc Inc | Psychiatry & Neurology | 5303 Maccorkle Ave Se Ste A, Charleston, WV 25304-2221 | 2007-11-16 |
| 1629174404 | Raymond Shapiro | Psychiatry & Neurology | 142 N Queen St, Suite 103, Martinsburg, WV 25401-3312 | 2006-09-16 |
| 1730108259 | Ralph Silas Smith Jr. | Psychiatry & Neurology | 1219 Ohio Ave, Dunbar, WV 25064-3019 | 2006-07-18 |
| 1902875743 | Richard Olutoyin Ajayi | Psychiatry & Neurology | 310 American Way Ste A, Weirton, WV 26062-4083 | 2006-03-15 |
| 1891012233 | Brandon Michael Workman | Psychiatry & Neurology | 28 Mallard Ct, Beckley, WV 25801-3664 | 2010-04-26 |
| 1881733384 | Jafar Taki Almashat | Psychiatry & Neurology | 235 S Water St, Martinsburg, WV 25401-4241 | 2007-02-05 |
Please comment or provide details below to improve the information on ABDEL-FATAH MASSOUD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.