OrganizationActive
Central Wv Derm Assoc Inc
NPI 1669583589 · Dermatology Physician · Bridgeport, WV
Central Wv Derm Assoc Inc is a Dermatology Physician organization in Bridgeport, WV (NPI 1669583589).
Provider details
- NPI number
- 1669583589
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Georgia Daniel, Chief Operating Officer(304) 842-3494
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
170 Thompson Dr
Suite 200
Bridgeport, WV 26330-2608
Phone: (304) 842-3494
Fax: (304) 842-2339
Street-level locationGet directions
Mailing address
Po Box 4550
Bridgeport, WV 26330-4550
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2009-09-10
Frequently asked questions
- What is Central Wv Derm Assoc Inc's NPI number?
- Central Wv Derm Assoc Inc's National Provider Identifier (NPI) is 1669583589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Wv Derm Assoc Inc?
- Central Wv Derm Assoc Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Central Wv Derm Assoc Inc located?
- Central Wv Derm Assoc Inc's practice location on file with NPPES is 170 Thompson Dr, Bridgeport, WV 26330-2608.
- What is Central Wv Derm Assoc Inc's phone number?
- The practice phone number listed in the NPPES registry for Central Wv Derm Assoc Inc is (304) 842-3494.
- Who is the authorized official for Central Wv Derm Assoc Inc?
- The authorized official listed on Central Wv Derm Assoc Inc's NPPES record is Georgia Daniel, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Wv Derm Assoc Inc's NPI active?
- Yes — Central Wv Derm Assoc Inc's NPI (1669583589) is active in the NPPES registry as of the last update on 2009-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.