Morgantown Obstetric and Gynecology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17237 Issued in WV

Legal business name

MORGANTOWN OBSTETRIC AND GYNECOLOGY, PLLC

Practice address

1191 Pineview Dr Ste H
Morgantown, WV 26505-2778

Phone

(304) 212-5620

Fax

(304) 241-4645

NPI assigned

Jan 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Murshid K Abdel-Latif, M.D.

Title

Owner

Phone

(304) 212-5620

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1003205402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 PINEVIEW DR STE H",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052778",
            "telephone_number": "304-212-5620",
            "fax_number": "304-241-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 PINEVIEW DR STE H",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052778",
            "telephone_number": "304-212-5620",
            "fax_number": "304-241-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN OBSTETRIC AND GYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "ABDEL-LATIF",
        "authorized_official_first_name": "MURSHID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-212-5620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "17237",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "WV",
            "license": "50130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4101771",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.