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NPI · 1609974641 · NPPES-sourced

Fairmont Neurology Clinic, PLLC

ActiveNeurology
NPI Number
1609974641
Type 2 · Organisation
Taxonomy Code
2084N0400X
Contact
(681) 285-8755
License WV · WV20408
Last Updated
Enumerated
Primary practice addressWV · 26505-2712
1188 Pineview Dr Ste 100Morgantown, WV 26505-2712
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About this NPIWhat this record shows.

NPI 1609974641 is registered to Fairmont Neurology Clinic, PLLC, a healthcare organisation classified as "Neurology" and located at 1188 Pineview Dr Ste 100 in Morgantown, West Virginia. The organisation's authorised official is Mouhannad Azzouz. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • WV20408WV· Issued by THE HEALTH PLAN
  • 7787352WV· Issued by AETNA
  • 001721746WV· Issued by BLUE CROSS BLUE SHIELD

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Fairmont Neurology Clinic, PLLC accepts. To confirm in-network status with your specific health plan, contact Fairmont Neurology Clinic, PLLC directly at (681) 285-8755.

Frequently asked

Yes. NPI 1609974641 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Neurology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (681) 285-8755.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Fairmont Neurology Clinic, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2084N0400X
Last updated
Enumerated
StatusActive
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