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

Katie Bloxton

Individual provider Medical Physician Assistant · NPI 1891108502

Katie Bloxton is a Physician Assistant in South Charleston, West Virginia. Qualified in 2014, 12 years ago. Practices with West Virginia Dermatology and Skin Surgery Center, a 6-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
12
Licensed in
WV
In the registry since
2014

Practice location Address checks out

4202 Maccorkle Ave SW Ste 200
South Charleston, WV 25309-1513
Phone: (304) 925-7546
Fax: (681) 205-8369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1119180 (WV)

Record details

NPI number1891108502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2014
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice West Virginia Dermatology And Skin Surgery Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Charleston