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NPI Lookup from the NPI Registry — National Provider Identifier Database

DAVID JUDY, DO – NPI #1619144433
MOHS-Micrographic Surgery

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.


Contact Information

DAVID JUDY, DO
4610 KANAWHA AVE SW
SUITE 302
CHARLESTON, WV25309-1320
 Phone: 304-925-7546
 Fax: 681-205-8369
 Website:
 

Taxonomy / Specialty

Taxonomy Code

MOHS-Micrographic Surgery

207ND0101X
 

Dermatology

207N00000X
Indicates primary specialty
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NPI Information for DAVID JUDY · (Male)

NPI Number 1619144433
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/12/2008
Last updated 10/20/2014 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
FL License # OS 11120
NC License # 2007-00740
WV License # 2596
WV Medicaid 3810023193
WV Other 5679351 CIGNA
WV Other 1619144433 HEALTHNET/TRICARE
WV Other 1619144433 HEALTHSMART PEIA
WV Other 2707397 HIGHMARK BCBS
WV Other 1619144433 UMWA HEALTH PLAN OF WV
WV Other 1619144433 UNITED HEALTHCARE
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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