DAVID JUDY D.O. – NPI #1619144433
Dermatology

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.

DAVID JUDY is a dermatologist located in CHARLESTON, WV. NPPES has assigned the NPI number 1619144433 to DAVID JUDY on May 12, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 12 years ago on Oct 20, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID JUDY below.

NPI Profile for
DAVID JUDY

NPI Number
1619144433
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID JUDY
Credentials
D.O.
Primary location
4610 KANAWHA AVE SW
SUITE 302
CHARLESTON, WV 25309-1320
Phone: (304) 925-7546 Fax: (681) 205-8369
Mailing address
# L-3555
COLUMBUS, OH 43260-0001
Phone: (304) 925-7546 Fax: (681) 205-8369
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for DAVID JUDY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERCIGNAWV5679351
OTHERHEALTHNET/TRICAREWV1619144433
OTHERHEALTHSMART PEIAWV1619144433
OTHERHIGHMARK BCBSWV2707397
OTHERUMWA HEALTH PLAN OF WVWV1619144433
OTHERUNITED HEALTHCAREWV1619144433
MEDICAIDWV3810023193
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
WV 2596
207N00000X
- Dermatology
NC 2007-00740

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE - Graduated 2005
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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