Dermatology
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1891892097 · enumerated 2006-09-20 · record updated 2025-03-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: EUGENE KIRKLAND MD, CMO · (513) 701-5526
Addresses and phones
- Practice location 120 MEDICAL PARK DR, SUITE 200, BRIDGEPORT, WV, 26330-9012 (304) 624-7200 Fax (304) 554-0413 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 746750, ATLANTA, GA, 30374-6750 (866) 680-8505 Fax (937) 436-4156 Google Maps Apple Maps OpenStreetMap
Specialties
- Allergy & Immunology 207K00000X
- Dermatology 207N00000X · Primary
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Dermatology, Dermatopathology 207ND0900X
- Dermatology, Procedural Dermatology 207NS0135X
- Family Medicine 207Q00000X
- Internal Medicine 207R00000X
- Internal Medicine, Rheumatology 207RR0500X
In this directory
Locations and evidence
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Practice location
BRIDGEPORT, WV, 263309012
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.