WEST VIRGINIA DERMATOLOGY
NPI 1174881916
Clinic/Center - Medical Specialty in South Charleston, WV
NPI Status: Active since April 30, 2012
Contact Information
4202 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 925-7546
Fax: (681) 205-8369
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
About WEST VIRGINIA DERMATOLOGY
This page provides the complete NPI Profile along with additional information for West Virginia Dermatology, a provider established in South Charleston, West Virginia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1174881916 assigned on April 2012. The practitioner's primary taxonomy code is 261QM2500X with license number 2596 (WV). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is West Virginia Dermatology. The authorized official of this NPI record is Dr. David W Judy D.o. (Owner)
- NPI
- 1174881916
- Provider Legal Name
- WEST VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
- Other Organization Name
- WEST VIRGINIA DERMATOLOGY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4202 MACCORKLE AVE SW STE 200 SOUTH CHARLESTON, WV 25309
- Location Phone
- (304) 925-7546
- Location Fax
- (681) 205-8369
- Mailing Address
- 4202 MACCORKLE AVE SW STE 200 SOUTH CHARLESTON, WV 25309
- Mailing Phone
- (304) 925-7546
- Mailing Fax
- (681) 205-8369
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-30-2012
- Last Update Date
- 01-06-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2596
- License State
- WV
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174881916, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SOUTH CHARLESTON, WV 25309
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174881916, enumerated as an "organization" on April 30, 2012.
The provider is located at 4202 MACCORKLE AVE SW STE 200 SOUTH CHARLESTON, WV 25309 and the phone number is (304) 925-7546.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.
