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DERMATOLOGY & SKIN SURGERY CLINIC
NPI 1639264401
Dermatology in Paducah, KY

Active since October 04, 2006CLIA 18D0695717 · Certificate of Compliance
110 MEDICAL CENTER DR, PADUCAH, KY 42003(270) 443-2471(270) 443-5808 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology & Skin Surgery Clinic NPPES

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

DERMATOLOGY & SKIN SURGERY CLINIC (NPI 1639264401) is a healthcare organization registered as a dermatology in Paducah, Kentucky and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 18, 2027 and lists Jeannie Hughes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639264401
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & SKIN SURGERY CLINIC
Location Address110 MEDICAL CENTER DRPaducah, KY 42003-7909
Mailing Address110 Medical Center DrPaducah, KY 42003-7909 · (270) 443-2471 · Fax (270) 443-5808
Phone(270) 443-2471
Fax(270) 443-5808
Organization SubpartNo
Authorized OfficialJeannie HughesOffice Manager · (270) 443-2471
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 31, 2012
✔ NPI 1639264401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
110 MEDICAL CENTER DR, Paducah, KY 42003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 18D0695717

Dermatology & Skin Surgery Clinic · Paducah, KY
Active · expires Mar 18, 2027
CLIA Number18D0695717
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorDr. Jeffrey D. Case
Laboratory Phone(270) 443-2471
Laboratory LocationDermatology & Skin Surgery Clinic110 Medical Center Dr, Paducah, KY 42003
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 2

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

JEFFREY DON CASE MD
Legal Medicine
110 MEDICAL CENTER DR
PADUCAH, KY 42003
McCracken County (270) 443-2471
GRETCHEN MCCABE APRN FNP-C
Nurse Practitioner (Family)
110 MEDICAL CENTER DR
PADUCAH, KY 42003
McCracken County (270) 443-2471

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 Dermatology & Skin Surgery Clinic's NPI number?

The NPI number for Dermatology & Skin Surgery Clinic is 1639264401. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Dermatology & Skin Surgery Clinic located?

Dermatology & Skin Surgery Clinic is located at 110 Medical Center Dr, Paducah, KY 42003. The listed phone number is (270) 443-2471.

What is Dermatology & Skin Surgery Clinic's specialty?

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

Does Dermatology & Skin Surgery Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D0695717) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology & Skin Surgery Clinic accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dermatology & Skin Surgery Clinic 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 Dermatology & Skin Surgery Clinic was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.