West Virginia Dermatology and Skin Surgery Center
NPI 1174881916 · Medical Specialty Clinic/Center · South Charleston, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
West Virginia Dermatology and Skin Surgery Center is a Medical Specialty Clinic/Center organization in South Charleston, WV (NPI 1174881916).
Provider details
- NPI number
- 1174881916
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Judy, Owner(304) 925-7546
- License
- 2596 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Other names (DBA / former)
- Other name
- West Virginia Dermatology
- Other name
- West Virginia Dermatology
Registry dates
- Enumerated
- 2012-04-30
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Frequently asked questions
- What is West Virginia Dermatology and Skin Surgery Center's NPI number?
- West Virginia Dermatology and Skin Surgery Center's National Provider Identifier (NPI) is 1174881916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Virginia Dermatology and Skin Surgery Center?
- West Virginia Dermatology and Skin Surgery Center is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is West Virginia Dermatology and Skin Surgery Center located?
- West Virginia Dermatology and Skin Surgery Center's practice location on file with NPPES is 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513.
- What is West Virginia Dermatology and Skin Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for West Virginia Dermatology and Skin Surgery Center is (304) 925-7546.
- Does West Virginia Dermatology and Skin Surgery Center accept Medicare?
- West Virginia Dermatology and Skin Surgery Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for West Virginia Dermatology and Skin Surgery Center?
- The authorized official listed on West Virginia Dermatology and Skin Surgery Center's NPPES record is David Judy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Virginia Dermatology and Skin Surgery Center's NPI active?
- Yes — West Virginia Dermatology and Skin Surgery Center's NPI (1174881916) is active in the NPPES registry as of the last update on 2020-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.