Charleston Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHARLESTON DERMATOLOGY PLLC

Practice address

4502 Maccorkle Ave SE Ste a
Charleston, WV 25304-1835

Phone

(304) 925-5500

Fax

(304) 925-6780

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly L Skaff, MDNPI 1023014362

Title

Owner

Phone

(304) 925-5500

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Locations

Practitioners 3

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

• Monica Lynn Armstrong, NP-C

  • Nurse Practitioner
  • Charleston, WV
  • NPI 1427392406
  Medicare reassignment Care Compare group NPD
• Samantha Faye Jenkins, MD

  • Student in an Organized Health Care Education/Training Program
  • Morgantown, WV
  • NPI 1326574526
  Medicare reassignment Care Compare group NPD
• Kimberly Lynn Skaff, M.D.

  • Specialist
  • Charleston, WV
  • NPI 1023014362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1619623972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-925-5500",
            "fax_number": "304-925-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-925-5500",
            "fax_number": "304-925-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "SKAFF",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-925-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charlestonderm@gmail.com",
            "affiliation": "N",
            "address_1": "4502 MacCorkle Ave SE Ste A",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253041835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charleston Cardiology Group PLLC
• Charleston Cardiovascular
• Charleston Chiropractic Company PLLC
• Charleston Comprehensive Treatment Center
• Charleston Dental Associates
• Charleston Diabetes & Endocrine Consultants, PLLC
• Charleston Digestive Disease, Inc.
• Charleston Eye Care, PLLC
• Charleston Family Chiropractic
• Charleston Family Health Assoc

• Dermatology Physician in Charleston, WV
• Providers in Charleston, 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 Feb 25, 2022; 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.