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

Mrs. Michelle Leigh Endicott, DO

Individual provider Dermatology Physician · NPI 1699774315

Mrs. Michelle Leigh Endicott, DO is a Dermatology in South Charleston, West Virginia. Graduated from West Virginia School of Osteopathic Medicine in 2001, 25 years ago. Practices with Mountain State Medical Specialties PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
25
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
WV
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4815 Kanawha Ave SW
South Charleston, WV 25309-1207
Phone: (304) 768-4567
Fax: (304) 768-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2097 (WV)

Record details

NPI number1699774315
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 14, 2005
Last updated in NPPESSeptember 11, 2012

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2001 (25 years in practice)
Group practice Mountain State Medical Specialties Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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