Dermatology Center for Skin Health, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

54321 Issued in WV

Legal business name

DERMATOLOGY CENTER FOR SKIN HEALTH, PLLC

Practice address

600 Suncrest Town Centre Dr
Suite 115
Morgantown, WV 26505-1872

Phone

(304) 598-3888

Fax

(304) 598-0564

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Rachel Elisabeth Waybright, MPA

Title

Practice Administrator

Phone

(304) 225-2236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1184958472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUNCREST TOWN CENTRE DR",
            "address_2": "SUITE 115",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051872",
            "telephone_number": "304-598-3888",
            "fax_number": "304-598-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNCREST TOWN CENTRE DR",
            "address_2": "SUITE 115",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051872",
            "telephone_number": "304-598-3888",
            "fax_number": "304-598-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER FOR SKIN HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "WAYBRIGHT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "304-225-2236",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "54321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woody L Dennison, CRNA
• Dependency Counseling PLLC
• Mary Grace Deprimio, PA-C
• Stephanie E Derby
• Dermatology Center for Skin Health
• Megan M Deruiter, CFNP
• Bharati Desai, M.D.
• Marilyn Louise Desantis, FNP
• Ashwin Pramod Deshmukh, MBBS
• Himanshu Deshwal, M.D.

• Nurse Practitioner in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.