NPIMap

Organization Active NPI

Mountain State Sleep Center, Inc

Doing business as Oakland Sleep Solutions

  • Sleep Medicine (Internal Medicine) Physician
  • Morgantown, WV
National Provider Identifier
1801171012
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
20408 Issued in WV
Legal business name
MOUNTAIN STATE SLEEP CENTER, INC
Doing business as
Oakland Sleep Solutions
Practice address
1194 Pineview Dr
Morgantown, WV 26505-2712
Phone
(305) 599-1100
Fax
(304) 599-1353
NPI assigned
Oct 19, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Mr. Mouhannad Azzouz, MD
Title
Medical Director
Phone
(304) 599-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20408 WV Primary

Addresses

Primary practice location

1194 Pineview Dr
Morgantown, WV 26505-2712

Mailing address

1194 Pineview Dr
Morgantown, WV 26505-2712
Phone (304) 599-1100

Other names 1

  • Oakland Sleep Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

1194 Pineview Dr
Morgantown, WV 26505
Phone (304) 439-0447

1194 Pineview Dr
Morgantown, WV 26505
Phone (304) 439-0447

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1801171012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052712",
            "telephone_number": "304-599-1100",
            "fax_number": "304-599-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052712",
            "telephone_number": "305-599-1100",
            "fax_number": "304-599-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STATE SLEEP CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "AZZOUZ",
        "authorized_official_first_name": "MOUHANNAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-599-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WV",
            "license": "20408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.