Charter Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHARTER DERMATOLOGY PLLC

Practice address

1008 Tavern Rd Ste 201
Martinsburg, WV 25401-2859

Phone

(301) 693-3336

NPI assigned

Sep 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suresh Kumar Menon, M.D.NPI 1811956311

Title

Physician Partner

Phone

(301) 693-3336

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00376

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh K Menon, MD

  • Dermatology Physician
  • Martinsburg, WV
  • NPI 1811956311
  Medicare reassignment Care Compare group NPD Authorized official
• Adeel Ahmad, M.D

  • Dermatopathology Physician
  • Beckley, WV
  • NPI 1578717997

  Dermatology

  Medicare reassignment Care Compare group NPD
• Jerry Mitchell Hahn, MD

  • Procedural Dermatology Physician
  • Romney, WV
  • NPI 1831181304
  Medicare reassignment Care Compare group NPD
• Amir Zahir, M.D.

  • Dermatology Physician
  • Huntingtown, MD
  • NPI 1851633945

  WV

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1043099658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LATIGO CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025507",
            "telephone_number": "301-693-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 TAVERN RD STE 201",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012859",
            "telephone_number": "301-693-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "301-693-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chapin, MS OTR/L
• Erin Paige Chapman, D.P.T.
• Lexus Jean Chapman
• Travis Justin Chapman, PHARMD
• Jennifer Charland
• Carrie Ann Chase, CRNP
• Nahla Chaudhary
• Gayle Chavis
• Leah Kai Chen
• Cherry B. Lobaton MD, Inc

• Dermatology Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.