Individual provider Active NPI

Janelle Marie King, M.D.

  • Dermatology Physician
  • Vienna, WV
National Provider Identifier
1386879138
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25241 Issued in WV
Practice address
800 Grand Central Mall
Suite 3
Vienna, WV 26105-4100
Phone
(304) 865-0555
Fax
(304) 865-0556
NPI assigned
May 22, 2009
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.134518 OH
Dermatology Physician 207N00000X 25241 WV Primary

Addresses

Primary practice location

800 Grand Central Mall
Suite 3
Vienna, WV 26105-4100

Mailing address

125 N 6TH St
Clarksburg, WV 26301-2665
Phone (304) 624-7200

Other practice location 1

222 Pike St
Marietta, OH 45750-3319
Phone (740) 423-3618

Other practice location 2

110 Park Center Dr Ste 130
Parkersburg, WV 26101-1929
Phone (740) 423-3618

Other practice location 3

802 Wayne St Ste 100
Marietta, OH 45750-3373
Phone (740) 423-3618

Other practice location 4

1818 Washington Blvd Ste H
Belpre, OH 45714-2080
Phone (740) 423-3618

Other identifiers 1

IdentifierTypeStateIssuer
3810026009MedicaidWV

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address janelle.king@mmhs.medicity.net
Direct Messaging Address janelle.king@mmhs.medicity.net
Direct Messaging Address janelle.king@mmhs.medicity.net
Direct Messaging Address janelle.king@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130822000092 WV Practitioner - Dermatology 7012156979 Reassigns benefits to 1 organization
I20181128001794 OH Practitioner - Dermatology 7012156979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
JC Edwards School of Medicine, Marshall University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain State Medical Specialties PLLCGroup PAC ID 9335046754, 38 clinicians

Practice addresses (Care Compare)

416 Front St
Marietta, OH 45750-2124
Phone (740) 434-6010

800 Grand Central Mall
Suite 3
Vienna, WV 26105-4100
Phone (304) 865-0555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of skin lesions871
Removal or shaving of skin growth16
Skin biopsy148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25241WVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Medical Specialties, PLLC Dermatology CurrentSince Aug 1, 2013 Accepting new patients

Locations

416 Front St
Marietta, OH 45750
Phone (740) 236-4131

802 Wayne St
Ste 100
Marietta, OH 45750
Phone (740) 374-6030

120 Medical Park Dr
Ste 200
Bridgeport, WV 26330
Phone (304) 624-7200

125 N 6th St
Clarksburg, WV 26301
Phone (304) 623-6533

165 Scott Ave
Ste 100
Morgantown, WV 26508
Phone (304) 554-0400

800 Grand Central Mall
Ste 3
Vienna, WV 26105
Phone 30448548825

Interoperability endpoints

  • Direct secure messaging: janelle.king@mmhs.medicity.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1386879138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 6TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012665",
            "telephone_number": "304-624-7200",
            "fax_number": "304-865-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 3",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-865-0555",
            "fax_number": "304-865-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Pike St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503319",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-571-0078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park Center Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261011929",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-568-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Wayne St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503373",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-571-0078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Washington Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457142080",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-568-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JANELLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.134518",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "25241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026009",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janelle.king@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "222 Pike St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janelle.king@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "802 Wayne St Ste 100",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janelle.king@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "110 Park Center Dr Ste 130",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261011929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janelle.king@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1818 Washington Blvd Ste H",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457142080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.