CENTRAL WV DERM ASSOC INC


Address: 170 Thompson Dr, Suite 200, Bridgeport, WV 26330-2608
Phone: 3048423494

CENTRAL WV DERM ASSOC INC (NPI# 1669583589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669583589
Entity Type Organization
Organization Name CENTRAL WV DERM ASSOC INC
Practice Address 170 Thompson Dr
Suite 200
Bridgeport
WV 26330-2608
Mailing Address Po Box 4550
Bridgeport
WV 26330-4550
Practice Telephone 3048423494
Practice Fax Number 3048422339
Mailing Telephone 3048423494
Mailing Fax Number 3048422339
Enumeration Date 2006-08-31
Last Update Date 2009-09-10
Authorized Official Name MISS GEORGIA DAWN DANIEL (CHIEF OPERATING OFFICER)
Authorized Official Telephone 3048423494
Authorized Official Credential CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1019121420001 05
OH 2624959 05
WV 3810003851 05
OH 2624968 05

Office Location

Street Address 170 THOMPSON DR
SUITE 200
City BRIDGEPORT
State WV
Zip Code 26330-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184625790 Martin Levin Counselor 170 Thompson Dr, Suite 103, Bridgeport, WV 26330-2608 2005-08-04
1093982506 Rodney R Mccullough Psychologist 170 Thompson Dr, Suite 103, Bridgeport, WV 26330-2608 2008-05-14
1205013703 Saima N Noon Family Medicine 170 Thompson Dr, Bridgeport, WV 26330-2608 2008-01-28
1487774394 Levin & Associates Psychologist 170 Thompson Dr, Suite 103, Bridgeport, WV 26330-2608 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303036 Gage Mackenzie Chichester Nurse Anesthetist, Certified Registered 2673 Medical Park Drive, Bridgeport, WV 26330 2020-10-12
1851914105 Melany Langhurst Social Worker 64 Professional Place, Suite 102, Bridgeport, WV 26330 2020-05-21
1245704980 Adam Christopher Stonestreet Social Worker Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 2019-01-16
1588146658 Bridgeport Physical Therapy Services, Inc. Occupational Therapist 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 2018-09-05
1275040685 White Oaks Assisted Living Assisted Living Facility 140 Professional Place White Oaks, Bridgeport, WV 26330 2018-01-08
1275049371 Regional Eye Associates, Inc Ophthalmology 220 Southview Drive, Bridgeport, WV 26330 2017-12-27
1528586187 Savanna Tamia Brown Social Worker 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 2017-09-05
1184079642 Karla Kay Rinehart Social Worker 27 Trovato St., Suite 103, Bridgeport, WV 26330 2016-05-03
1396176756 Willo Group LLC Pharmacy 460 E. Main Street, Bridgeport, WV 26330 2013-12-10
1891031878 Sherri Michelle Dobson Occupational Therapy Assistant 1000 Maplewood Dr, Bridgeport, WV 26330 2012-12-20
Find all providers in zip 26330

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679669345 Allen George Saoud Dermatology 170 Thompson Dr Ste 200, Bridgeport, WV 26330-2608 2006-10-04
1144280637 Kenneth Joseph Maiocco Dermatology 4639 Main St, Bridgeport, CT 06606-1838 2006-03-27
1952897704 Integrated Dermatology of Bridgeport, Pllc Dermatology 4639 Main St, Bridgeport, CT 06606-1832 2018-07-05
1013206481 Moss and Maiocco Md LLC Dermatology 4639 Main St, Bridgeport, CT 06606-1832 2011-04-06
1053553131 Sharifeh Farasat Dermatology 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9012 2009-04-03
1487847570 Kenneth J. Maiocco, M.d., P.C. Dermatology 4639 Main St, Bridgeport, CT 06606-1838 2007-08-22
1790842227 Associates In Dermatology LLC Dermatology 4699 Main Street, Suite 212, Bridgeport, CT 06606 2007-01-03
1770691552 Katherine Jane Pesce Dermatology 4699 Main St, Suite 212, Bridgeport, CT 06606 2006-08-29
1548378813 Joseph Raymond Pesce Dermatology 4699 Main St, Suite 212, Bridgeport, CT 06606 2006-08-28
1215973995 Charles Bradley Franz Dermatology 120 Medical Park Dr, Suite 200, Bridgeport, WV 26330-9012 2006-06-21
Find all providers in BRIDGEPORT

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City BRIDGEPORT
Zip Code 26330

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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