Dermatology & Skin Surgery Clinic
NPI 1639264401 · Dermatology Physician · Paducah, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology & Skin Surgery Clinic is a Dermatology Physician organization in Paducah, KY (NPI 1639264401).
Provider details
- NPI number
- 1639264401
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeannie Hughes, Office Manager(270) 443-2471
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
- 2006-10-04
- Last updated
- 2012-10-31
Frequently asked questions
- What is Dermatology & Skin Surgery Clinic's NPI number?
- Dermatology & Skin Surgery Clinic's National Provider Identifier (NPI) is 1639264401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology & Skin Surgery Clinic?
- Dermatology & Skin Surgery Clinic is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology & Skin Surgery Clinic located?
- Dermatology & Skin Surgery Clinic's practice location on file with NPPES is 110 Medical Center Dr, Paducah, KY 42003-7909.
- What is Dermatology & Skin Surgery Clinic's phone number?
- The practice phone number listed in the NPPES registry for Dermatology & Skin Surgery Clinic is (270) 443-2471.
- Does Dermatology & Skin Surgery Clinic accept Medicare?
- Dermatology & Skin Surgery Clinic 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 Dermatology & Skin Surgery Clinic?
- The authorized official listed on Dermatology & Skin Surgery Clinic's NPPES record is Jeannie Hughes, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology & Skin Surgery Clinic's NPI active?
- Yes — Dermatology & Skin Surgery Clinic's NPI (1639264401) is active in the NPPES registry as of the last update on 2012-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.