Associated Dermatology, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

09476 Issued in WV

Legal business name

ASSOCIATED DERMATOLOGY, INC

Practice address

1110 20TH St
Parkersburg, WV 26101-2609

Phone

(304) 485-3834

Fax

(304) 422-4911

NPI assigned

Nov 27, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Corder Woofter, M.D.F.A.A.D

Title

Owner/Physician

Phone

(304) 485-3834

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1619159183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 20TH ST.",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-485-3834",
            "fax_number": "304-422-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 20TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012609",
            "telephone_number": "304-485-3834",
            "fax_number": "304-422-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DERMATOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WOOFTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CORDER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "304-485-3834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.F.A.A.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "09476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "W00368442",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL #",
            "identifier": "1780648287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID#",
            "identifier": "AS9264011",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ashcraft
• Sherry Asher
• Amy Ashley
• Rikki Ashley
• Brittney Ashworth
• Bernardo Assumpcao de Monaco, MD, PHD
• Assurance Medical, LLC
• Cassidy Dawn Atherton, AMAP
• Jana Atik, D.P.M.
• Justin Atkins

• Specialist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.