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CHARTER DERMATOLOGY PLLC
NPI 1043099658
Dermatology in Martinsburg, WV

Active since September 22, 2023CLIA 51D2300214 · Certificate of Compliance
1008 TAVERN RD STE 201, MARTINSBURG, WV 25401(301) 693-3336 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charter Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARTER DERMATOLOGY PLLC (NPI 1043099658) is a healthcare organization registered as a dermatology in Martinsburg, West Virginia and active in the NPI registry since September 2023. The organization holds a CLIA Certificate of Compliance certificate valid through February 18, 2027 and lists Suresh Kumar Menon, Physician Partner, as its authorized official.

NPPES Registry Identity

NPI1043099658
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHARTER DERMATOLOGY PLLC
Location Address1008 TAVERN RD STE 201Martinsburg, WV 25401-2859
Mailing Address1800 Latigo CtFrederick, MD 21702-5507 · (301) 693-3336
Phone(301) 693-3336
Organization SubpartNo
Authorized OfficialSuresh Kumar MenonPhysician Partner · (301) 693-3336
Enumeration DateSeptember 22, 2023
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1043099658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
1008 TAVERN RD STE 201, Martinsburg, WV 25401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, WellSense Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 51D2300214

Charter Dermatology PLLC · Martinsburg, WV
Active · expires Feb 18, 2027
CLIA Number51D2300214
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorDr. Suresh K. Menon
Laboratory Phone(301) 693-3336
Laboratory LocationCharter Dermatology PLLC1008 Tavern Road Suite 201, Martinsburg, WV 25401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Family Medicine
1008 TAVERN RD STE 201
MARTINSBURG, WV 25401
Berkeley County (304) 264-4433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charter Dermatology PLLC's NPI number?

The NPI number for Charter Dermatology PLLC is 1043099658. It was assigned to this organization in the NPPES registry on September 22, 2023.

Where is Charter Dermatology PLLC located?

Charter Dermatology PLLC is located at 1008 Tavern Rd Ste 201, Martinsburg, WV 25401. The listed phone number is (301) 693-3336.

What is Charter Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Charter Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 51D2300214) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charter Dermatology PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and WellSense Health Plan list Charter Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charter Dermatology PLLC was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.