Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Appalachian Addiction Medical PLLC

Organization Addiction Medicine (Anesthesiology) Physician · NPI 1275008856

Appalachian Addiction Medical PLLC is an Addiction Medicine (Anesthesiology) Physician in Logan, West Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

77 Hospital Dr Ste 100 Kruger Bldg
Logan, WV 25601
Phone: (304) 896-5200
Fax: (304) 896-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Anesthesiology) Physician (primary) Taxonomy 207LA0401X

Record details

NPI number1275008856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emad Mousa — Owner/Physician · (304) 896-5200
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018
Mailing address77 Hospital Drive, Suite 100 Kruger Building, Logan, WV 25601