MORGANTOWN OBSTETRIC AND GYNECOLOGY, PLLC (NPI# 1003205402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003205402 |
| Entity Type | Organization |
| Organization Name | MORGANTOWN OBSTETRIC AND GYNECOLOGY, PLLC |
| Practice Address |
1191 Pineview Dr Ste H Morgantown WV 26505-2778 |
| Practice Telephone | 3042125620 |
| Practice Fax Number | 3042414645 |
| Mailing Telephone | 3042125620 |
| Mailing Fax Number | 3042414645 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | MURSHID K ABDEL-LATIF (OWNER) |
| Authorized Official Telephone | 3042125620 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | 50130 | WV | Other Service Providers |
| Y | 174400000X | Specialist | 17237 | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 4101771 | 05 |
| Street Address |
1191 PINEVIEW DR STE H |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235588138 | Ashley Cowan | Specialist | 248 Eden Dr, Morgantown, KY 42261-8955 | 2016-06-10 |
| 1740685932 | Pediatric Lung & Asthma Center, Pllc | Specialist | 1270 Suncrest Towne Centre Drive, Morgantown, WV 26508-1828 | 2014-10-30 |
| 1346659281 | Virginia Keener | Specialist | 668 W Virginia Ave, Morgantown, WV 26501-6741 | 2014-08-05 |
| 1578869079 | Tealia Lynn Wolfe | Specialist | 3012 Northpointe Plz, Morgantown, WV 26505-3277 | 2011-01-31 |
| 1366647075 | Ghayth Hammad, Md Psc | Specialist | 234 Porter St, Morgantown, KY 42261-8629 | 2007-06-20 |
| 1285841031 | Joseph G Feghali Md, Inc | Specialist | 2000 Hampton Ctr Ste D, Morgantown, WV 26505-1704 | 2007-05-17 |
| 1013066455 | Barbara E Jones | Specialist | 4788 S Lick Creek Rd, Morgantown, IN 46160-9598 | 2007-01-08 |
| 1922160779 | Jane Jean | Specialist | 6995 N Carmel Ridge Rd, Morgantown, IN 46160-9487 | 2006-12-15 |
| 1417028887 | Carol Ann White | Specialist | 1311 Pineview Dr, Morgantown, WV 26505-0485 | 2006-11-10 |
| 1366531287 | Ahmed Husari, Md, Inc | Specialist | 1194 Pineview Dr, Morgantown, WV 26505 | 2006-10-11 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MORGANTOWN OBSTETRIC AND GYNECOLOGY, PLLC.
| 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.