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CENTRAL WV DERM ASSOC INC
NPI 1669583589
Dermatology in Bridgeport, WV

Active since August 31, 2006
170 THOMPSON DR, SUITE 200, BRIDGEPORT, WV 26330(304) 842-3494(304) 842-2339 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Wv Derm Assoc Inc NPPES

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

CENTRAL WV DERM ASSOC INC (NPI 1669583589) is a healthcare organization registered as a dermatology in Bridgeport, West Virginia and active in the NPI registry since August 2006. The organization lists Georgia Dawn Daniel, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1669583589
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTRAL WV DERM ASSOC INC
Location Address170 THOMPSON DR, SUITE 200Bridgeport, WV 26330-2608
Mailing AddressPo Box 4550Bridgeport, WV 26330-4550 · (304) 842-3494 · Fax (304) 842-2339
Phone(304) 842-3494
Fax(304) 842-2339
Organization SubpartNo
Authorized OfficialGeorgia Dawn DanielChief Operating Officer · (304) 842-3494
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 10, 2009
✔ NPI 1669583589 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.
170 THOMPSON DR, Bridgeport, WV 26330
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Other Identifiers 8

Medicare PINDD9600WV
Medicaid1019121420001PA
Medicare PIN9356591OH
Medicare PIN107701V46PA
Medicaid3810003851WV
Medicare PIN9356581WV
Medicaid2624968OH
Medicaid2624959OH

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

Other Providers at the Same Location NPPES 3

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

RODNEY R MCCULLOUGH MA
Psychologist
170 THOMPSON DR, SUITE 103
BRIDGEPORT, WV 26330
Harrison County (304) 842-6609
DR. SAIMA N NOON MD
Family Medicine
170 THOMPSON DR
BRIDGEPORT, WV 26330
Harrison County (304) 842-5133
LEVIN & ASSOCIATES
Psychologist
170 THOMPSON DR, SUITE 103
BRIDGEPORT, WV 26330
Harrison County (304) 842-6609

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 Central Wv Derm Assoc Inc's NPI number?

The NPI number for Central Wv Derm Assoc Inc is 1669583589. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Central Wv Derm Assoc Inc located?

Central Wv Derm Assoc Inc is located at 170 Thompson Dr Suite 200, Bridgeport, WV 26330. The listed phone number is (304) 842-3494.

What is Central Wv Derm Assoc Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Central Wv Derm Assoc Inc was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.