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

Paul J Kostuchenko, MD

Individual provider Dermatopathology Physician · NPI 1972591055

Paul J Kostuchenko, MD is a Dermatology in Winston Salem, North Carolina. Graduated from Virginia Commonwealth University, School of Medicine in 1999, 27 years ago. Practices with Westgate Dermatology and Laser Center, PA, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
27
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1345 Westgate Center Dr Ste B
Winston Salem, NC 27103-3041
Phone: (336) 768-1280
Fax: (336) 760-8443
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 200400056 (NC)

Record details

NPI number1972591055
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2005
Last updated in NPPESApril 2, 2009

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Westgate Dermatology And Laser Center, P.A. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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