DR. D.O. David Judy, NPI 1619144433
MOHS-Micrographic Surgery Physician in Charleston, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1619144433
NPI Entity Type Individual
Provider Name DR. D.O. David Judy
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4610 Kanawha Ave Sw, Suite 302, Charleston, WV, US
Provider Mailing Address # L-3555, Columbus, OH, US, 432600001
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 2596
License State WV
Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

DR. D.O. David Judy
4610 Kanawha Ave Sw
Suite 302

Charleston, WV, US

Phone: 304-925-7546
Fax: 681-205-8369

Mailing Address

DR. D.O. David Judy
# L-3555
Columbus, OH, US
ZIP 432600001
Phone: 304-925-7546
Fax: 681-205-8369

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

2007-00740 NC No

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

OS 11120 FL No

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

2596 WV No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3810023193 WV MEDICAID 05
5679351 WV CIGNA 01
1619144433 WV HEALTHNET/TRICARE 01
1619144433 WV UNITED HEALTHCARE 01
1619144433 WV HEALTHSMART PEIA 01
1619144433 WV UMWA HEALTH PLAN OF WV 01
2707397 WV HIGHMARK BCBS 01

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

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1255056693

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Luke Petrice

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1992420319

Karie Morrison

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Katelyn Lucas

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1558086975

Jenna Taylor

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Tisean Jayree Walker

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Huntington, WV

1922723345

Montana Wallace

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Huntington, WV

1033834452

Natasha Sharon Sexton

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1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

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Princeton, WV

1174248587

Stevie Dawn Cline

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695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

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267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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