NPI Details
DR. Theresa Conologue, DO is a procedural dermatology dermatology in Fredericksburg, VA with 25 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Theresa Conologue, DO NPI is 1053407452. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2000
The provider's business location address is:
1101 SAM PERRY BLVD STE 121
FREDERICKSBURG, VA
ZIP 22401-465
Phone: (540) 899-1600
The NPI 1053407452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
- Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
- Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
- Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:17281)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/29/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207NS0135X | Dermatology | Procedural Dermatology | 0102201892 | VIRGINIA | Yes |