| Mohammad Hisham Hout, MD | |
|
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
| (401) 368-2486 | |
| Not Available |
| Full Name | Mohammad Hisham Hout |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 327 Medical Park Dr, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508483496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | LP04882 (Rhode Island) | Secondary |
| 208800000X | Urology | 31773 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital Center | Bridgeport, WV | Hospital |
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| St Joseph's Hospital | Buckhannon, WV | Hospital |
| Summersville Regional Medical Center | Summersville, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| United Hospital Center Inc | 8123936010 | 237 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Hisham Hout, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (401) 368-2486 | Mohammad Hisham Hout, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (401) 368-2486 |
Grant L Franklin Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Pl, Bridgeport, WV 26330 Phone: 681-342-3595 Fax: 681-342-3598 | |
William Tuong, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 135 Professional Pl, Bridgeport, WV 26330 Phone: 681-342-3660 | |
Dr. Oluyemi Akin-olugbade, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Pl, Bridgeport, WV 26330 Phone: 681-342-3660 Fax: 681-342-3665 |