BECKLEY DERMATOLOGY INC. (NPI# 1942772082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942772082 |
| Entity Type | Organization |
| Organization Name | BECKLEY DERMATOLOGY INC. |
| Practice Address |
1401 Hospital Dr Ste 101 Hurricane WV 25526-9239 |
| Mailing Address |
136 Linden Dr Ste 104 Winchester VA 22601-6900 |
| Practice Telephone | 6812357253 |
| Practice Fax Number | 6812357258 |
| Mailing Telephone | 5406783588 |
| Mailing Fax Number | 5406789025 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | NELSON E. VELAZQUEZ (OWNER) |
| Authorized Official Telephone | 3042522673 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | BECKLEY DERMATOLOGY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Associates & Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479056 | Beckley Dermatology Inc. | Dermatology | 300 Kenton Dr Ste 2, Charleston, WV 25311-1266 | 2018-12-31 |
| 1275005316 | Beckley Dermatology Inc. | Dermatology | 1000 Tavern Rd Ste 400, Martinsburg, WV 25401-2853 | 2018-12-31 |
| 1740752880 | Beckley Dermatology Inc. | Dermatology | 300 Prosperity Ln Ste 207, Logan, WV 25601-3743 | 2018-12-31 |
| 1891267936 | Beckley Dermatology Inc. | Dermatology | 1110 Professional Ct Ste 201, Hagerstown, MD 21740-5945 | 2018-12-31 |
| 1568076180 | Beckley Dermatology Inc. | Dermatology | 150 E 2nd Ave, Williamson, WV 25661-3602 | 2020-09-01 |
| 1578035606 | Beckley Dermatology Inc. | Dermatology | 508 New Hope Rd Ste 102, Princeton, WV 24740-2265 | 2018-12-31 |
| 1720089279 | Beckley Dermatology Inc. | Dermatology | 94 Brookshire Lane, Beckley, WV 25801-6765 | 2005-08-09 |
| Street Address |
1401 HOSPITAL DR STE 101 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316350499 | Pinnacle Dermatology LLC | Dermatology | 536 N Jefferson St, Suite 200, Lewisburg, WV 24901-1164 | 2014-06-06 |
| 1255677555 | Derm One Pllc | Dermatology | 34 New Hope Rd, Suite 1, Princeton, WV 24740-2354 | 2012-12-14 |
| 1285876011 | Zachary Allen Zinn | Dermatology | 1 Stadium Dr Ste 3, Morgantown, WV 26506-7900 | 2009-03-25 |
| 1902091101 | Virginias Dermatology, Inc. | Dermatology | 1 Country Club Hl, Bluefield, WV 24701-4467 | 2007-09-11 |
| 1972797231 | Appalachian Spring Dermatology, Pllc | Dermatology | 100 Village Dr, Suite 201, Fairmont, WV 26554-7986 | 2007-08-30 |
| 1801910880 | Erik B Hurst | Dermatology | 1000 Sushruta Dr, Martinsburg, WV 25401-8876 | 2007-03-16 |
| 1356415533 | Kenneth F Hardy Jr. | Dermatology | 1311 Pineview Drive, Suite 200, Morgantown, WV 26505 | 2006-11-20 |
| 1114091287 | William Lloyd Hall | Dermatology | 400 Drummond Street, Morgantown, WV 26505-3320 | 2006-11-20 |
| 1679669345 | Allen George Saoud | Dermatology | 170 Thompson Dr Ste 200, Bridgeport, WV 26330-2608 | 2006-10-04 |
| 1588629166 | Stephen Kirby Milroy | Dermatology | 3100 Mccorkle Ave Se, Ste 809, Charleston, WV 25304-1223 | 2006-04-18 |
| Find all providers with the same taxonomy | ||||
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| 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.