WESTGATE DERMATOLOGY AND LASER CENTER, P.A.
NPI 1821240995
Dermatology - Dermatopathology in Winston Salem, NC
NPI Status: Active since October 21, 2008
Contact Information
2020 PEACE HAVEN RD
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 768-1280
- Organization
- Dermatology
- Dermatopathology
- CLIA Number: 34D2176944
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-29-2027
About WESTGATE DERMATOLOGY AND LASER CENTER, P.A.
This page provides the complete NPI Profile along with additional information for Westgate Dermatology And Laser Center, P.a., a provider established in Winston Salem, North Carolina operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1821240995 assigned on October 2008. The practitioner's primary taxonomy code is 207ND0900X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Westgate Dermatology And Laser Center, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Paul J Kostuchenko Md (President)
- NPI
- 1821240995
- Provider Name
- WESTGATE DERMATOLOGY AND LASER CENTER, P.A.
- Entity Type
- Organization
- Location Address
- 2020 PEACE HAVEN RD WINSTON SALEM, NC 27106
- Location Phone
- (336) 768-1280
- Mailing Address
- 2020 PEACE HAVEN RD WINSTON SALEM, NC 27106
- Mailing Phone
- (336) 768-1280
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2008
- Last Update Date
- 10-02-2012
- 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
Dermatology Dermatopathology
- Taxonomy Code
- 207ND0900X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| QPB766 | OTHER (01) | NC | SC MEDICAID |
| QPB766 | MEDICAID (05) | SC | |
| 5950698 | MEDICAID (05) | NC | |
| 2026585B | MEDICARE PIN (08) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2176944
- Facility Type
- Physician Office
- Certificate Effective Date
- December 30, 2025
- Certificate Expiration Date
- December 29, 2027
- Laboratory Director
- PAUL J. KOSTUCHENKO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Westgate Dermatology And Laser Center, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1821240995, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821240995, enumerated as an "organization" on October 21, 2008.
The provider is located at 2020 PEACE HAVEN RD WINSTON SALEM, NC 27106 and the phone number is (336) 768-1280.
Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
