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WEST VIRGINIA DERMATOLOGY
NPI 1174881916
Clinic/Center - Medical Specialty in South Charleston, WV

Active since April 30, 2012
4202 MACCORKLE AVE SW STE 200, SOUTH CHARLESTON, WV 25309(304) 925-7546(681) 205-8369 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Virginia Dermatology NPPES

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

WEST VIRGINIA DERMATOLOGY (NPI 1174881916) is a healthcare organization registered as a medical specialty in South Charleston, West Virginia and active in the NPI registry since April 2012. The organization lists David W Judy, Owner, as its authorized official.

NPPES Registry Identity

NPI1174881916
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWEST VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Location Address4202 MACCORKLE AVE SW STE 200South Charleston, WV 25309-1513
Mailing Address4202 Maccorkle Ave Sw Ste 200South Charleston, WV 25309-1513 · (304) 925-7546 · Fax (681) 205-8369
Phone(304) 925-7546
Fax(681) 205-8369
Organization SubpartNo
Authorized OfficialDavid W JudyOwner · (304) 925-7546
Enumeration DateApril 30, 2012
Last NPPES UpdateJanuary 6, 2020
✔ NPI 1174881916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in WV · 2596
Definition
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).
4202 MACCORKLE AVE SW STE 200, South Charleston, WV 25309
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Other Names 1

Other NameWest Virginia Dermatology

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

KATIE BLOXTON
Physician Assistant (Medical)
4202 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 925-7546

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 West Virginia Dermatology And Skin Surgery Center's NPI number?

The NPI number for West Virginia Dermatology And Skin Surgery Center is 1174881916. It was assigned to this organization in the NPPES registry on April 30, 2012. The provider is also known as West Virginia Dermatology.

Where is West Virginia Dermatology And Skin Surgery Center located?

West Virginia Dermatology And Skin Surgery Center is located at 4202 Maccorkle Ave SW Ste 200, South Charleston, WV 25309. The listed phone number is (304) 925-7546.

What is West Virginia Dermatology And Skin Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does West Virginia Dermatology And Skin Surgery Center accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list West Virginia Dermatology And Skin Surgery Center 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 West Virginia Dermatology And Skin Surgery Center was last updated on January 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.