Alpha Medical Group LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ALPHA MEDICAL GROUP LLC

Doing business as

Alpha Addiction Advocates Treatment Center

Practice address

1043 Harding Memorial Pkwy
Marion, OH 43302-6315

Phone

(740) 383-4090

Fax

(740) 383-2850

NPI assigned

Mar 14, 2016

Last updated

Dec 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emad Y Mousa, MDNPI 1003070194

Title

Director

Phone

(412) 680-6497

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alpha Addiction Advocates Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emad Y Mousa, MD

  • Obstetrics Physician
  • Logan, WV
  • NPI 1003070194

  OH

  Medicare reassignment Authorized official
• Dena Kay Barker, APRN, FNP-C

  • Family Nurse Practitioner
  • Chapmanville, WV
  • NPI 1124403977
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1265893549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010119",
            "telephone_number": "304-896-5200",
            "fax_number": "304-896-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 HARDING MEMORIAL PKWY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026315",
            "telephone_number": "740-383-4090",
            "fax_number": "740-383-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-680-6497",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2873029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Addiction Advocates Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpha Addiction Advocates Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Allen, CDCA, CPRS, BHT
• Laura Agnes Allen, LSW
• Sherrie Allen
• Susan Almendinger, SLP
• Alpha Dental Marion - Ming Yu DDS LLC (Alpha Dental Marion)
• Alicia Alvarado, CNP
• Katherine Eileen Alvey, LPN
• Tara Amarose, LPC
• American Homepatient, Inc.
• American Orthopedics Inc

• Addiction Medicine (Family Medicine) Physician in Marion, OH
• Providers in Marion, OH by specialty
• Addiction Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.