Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexa Marie Fruth, PA

Individual provider Physician Assistant · NPI 1568002509

Alexa Marie Fruth, PA is a Physician Assistant in South Charleston, West Virginia. Qualified in 2020, 6 years ago. Practices with Center for Dermatology and Skin Care Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

607 Chestnut St
South Charleston, WV 25309-1205
Phone: (304) 766-9136
Fax: (304) 766-9139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 996 Teays Ln, Hurricane, WV 25526-5560 — (304) 550-8057

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 825 (WV)

Record details

NPI number1568002509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Center For Dermatology And Skin Care Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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