Emad Y Mousa (NPI# 1003070194, PAC ID# 0244390714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1003070194 |
| PAC ID by PECOS | 0244390714 |
| Professional Enrollment ID | I20170809003129 |
| Full Name | Emad Y Mousa |
| Address |
77 Hospital Dr Suite 200 Logan WV 25601-3451 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialties | ADDICTION MEDICINE, FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510048 | LOGAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 77 Hospital Dr, Suite 200, Logan, WV 25601-3451 |
| Street Address |
77 HOSPITAL DR SUITE 200 |
| City | LOGAN |
| State | WV |
| Zip | 25601-3451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Beres | Ophthalmology | 77 Hospital Dr, Suite 401, Logan, WV 25601-3451 | |
| Safique Ahmed | Hematology/oncology | 77 Hospital Dr, Suite 301, Logan, WV 25601-3451 | |
| Nicole L Dillon | Family Medicine | 77 Hospital Dr, Doctors Park Suite D, Logan, WV 25601-3451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad B Faridi | Internal Medicine | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Melissa Kitchen | Nurse Practitioner | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Karunasree Kanuri | Family Medicine | 1115 2nd Ave, West Logan, WV 25601-3309 | |
| Amber M Ellis | Nurse Practitioner | Living Waters Medical Center | 100 Main Ave, Logan, WV 25601-3323 |
| Jamie L Hall-jasper | Podiatry | 100 Main Ave, Logan, WV 25601-3323 | |
| Douglas K Hibbs | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Jennifer Marie Oneal | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Zial Salem | Gastroenterology | Logan General Hospital LLC | 79 Hospital Dr, Logan, WV 25601-3451 |
| Radhakrishna Kukkillaya | Internal Medicine | Sathish and Radha Internal Medicine Group Ltd | 38 Hospital Dr, Logan, WV 25601-3452 |
| Nilay Nirdosh | Hospitalist | Apogee Medical Group, West Virginia, Pllc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Find all physicians in zip 25601 | |||
| City | LOGAN |
| Zip Code | 25601 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LOGAN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Emad Y Mousa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.