South Charleston Dermatology PLLC
NPI 1174604409 · Dermatology Physician · South Charleston, WV
South Charleston Dermatology PLLC is a Dermatology Physician organization in South Charleston, WV (NPI 1174604409).
Provider details
- NPI number
- 1174604409
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Endicott, Owner/Physician(304) 768-4567
- License
- 2097 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2011-12-12
Frequently asked questions
- What is South Charleston Dermatology PLLC's NPI number?
- South Charleston Dermatology PLLC's National Provider Identifier (NPI) is 1174604409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Charleston Dermatology PLLC?
- South Charleston Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is South Charleston Dermatology PLLC located?
- South Charleston Dermatology PLLC's practice location on file with NPPES is 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207.
- What is South Charleston Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Charleston Dermatology PLLC is (304) 768-4567.
- Who is the authorized official for South Charleston Dermatology PLLC?
- The authorized official listed on South Charleston Dermatology PLLC's NPPES record is Michelle Endicott, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Charleston Dermatology PLLC's NPI active?
- Yes — South Charleston Dermatology PLLC's NPI (1174604409) is active in the NPPES registry as of the last update on 2011-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.