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DERMATOLOGY ASSOCIATES & SURGERY CENTER
NPI 1720089279
Dermatology in Beckley, WV

Active since August 09, 2005CLIA Certified · 2 labs
94 BROOKSHIRE LANE, BECKLEY, WV 25801(304) 252-2673(304) 929-2350 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2017, Nov 18, 2016 (2 updates tracked since 2016).

About Dermatology Associates & Surgery Center NPPES

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

DERMATOLOGY ASSOCIATES & SURGERY CENTER (NPI 1720089279) is a healthcare organization registered as a dermatology in Beckley, West Virginia and active in the NPI registry since August 2005. The organization holds 2 active CLIA laboratory certificates and lists Nelson E. Velazquez, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1720089279
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBECKLEY DERMATOLOGY INC.
Location Address94 BROOKSHIRE LANEBeckley, WV 25801-6765
Mailing Address148 Linden Dr, Suite 101Winchester, VA 22601-6909 · (540) 504-0066 · Fax (540) 678-9025
Phone(304) 252-2673
Fax(304) 929-2350
Organization SubpartNo
Authorized OfficialNelson E. VelazquezSole Owner · (304) 252-2673
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 15, 20172 updates tracked since enumeration
✔ NPI 1720089279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
94 BROOKSHIRE LANE, Beckley, WV 25801
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Other Names 1

Doing Business AsDermatology Associates & Surgery Center

Other Identifiers 4

Medicare PIN553156MD
Medicare PIN9314931WV
Medicaid258407700MD
Medicaid1720089279WV

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 51D2003888

Dermatology Associates & Surgery Center Beckley · Beckley, WV
Active · expires Mar 8, 2027
CLIA Number51D2003888
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Eduardo Vidal
Laboratory Phone(304) 252-2673
Laboratory LocationDermatology Associates & Surgery Center Beckley94 Brookshire Lane, Beckley, WV 25801
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.

Certificate of Compliance 51D2189388

Dermatology Associates & Surgery Center Williamson · Williamson, WV
Active · expires Dec 16, 2026
CLIA Number51D2189388
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorNelson E. Velazquez
Laboratory Phone(304) 252-2673
Laboratory LocationDermatology Associates & Surgery Center Williamson150 E Second Avenue, Williamson, WV 25661
CLIA data matches this NPI record on: 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.

DR. NELSON E. VELAZQUEZ DO
Dermatology
94 BROOKSHIRE LANE
BECKLEY, WV 25801
Raleigh County (304) 252-2673

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 Beckley Dermatology Inc.'s NPI number?

The NPI number for Beckley Dermatology Inc. is 1720089279. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Dermatology Associates & Surgery Center.

Where is Beckley Dermatology Inc. located?

Beckley Dermatology Inc. is located at 94 Brookshire Lane, Beckley, WV 25801. The listed phone number is (304) 252-2673.

What is Beckley Dermatology Inc.'s specialty?

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

Does Beckley Dermatology Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Beckley Dermatology Inc. accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Beckley Dermatology Inc. 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 Beckley Dermatology Inc. was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.