West Kentucky Dermatology, PSC
NPI 1275580888ActiveOrganization· Dermatology· Madisonville, KY
Dermatology in Madisonville, Kentucky, registered in NPPES in May 2006. The authorized official on file is William F. Smith, M.D, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275580888 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2006 |
| Last updated in NPPES | Jan 23, 2025 |
| Certified by provider | Jan 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
Other Dermatology providers in Madisonville
- 1053077107
- 1538108873