Organization
MID OHIO NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOURAD ABDELMESSIH M.D. (OWNER)
(740) 522-6110
Entity
Organization
Contact information
Practice address
1916 TAMARACK RD, NEWARK, OH 43055-2303
(740) 522-6110
(740) 522-0126
Mailing address
1916 TAMARACK RD, NEWARK, OH 43055-2303
(740) 522-6110
(740) 522-0126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314455
ANTHEM GROUP NUMBER
—
01
—
0811063
NEUROLOGY
—
05
—
2431167
—
OH
01
—
DA5551
MEDICARE RAILROAD GROUP
OH
Enumeration date
10/03/2006
Last updated
08/14/2024
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