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MARTHA LYNN MCCOLLOUGH MD NPI 1972530954


NPI Information

NPI: 1972530954
Provider Name: MARTHA LYNN MCCOLLOUGH, MD
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1367 DOMINION PLAZA
TYLER, TX
ZIP 75703
Phone: (903) 534-6200
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Martha Lynn Mccollough, MD is a dermatology in Tyler, TX with 45 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Martha Lynn Mccollough, MD NPI is 1972530954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

1367 DOMINION PLAZA
TYLER, TX
ZIP 75703-013
Phone: (903) 534-6200

The NPI 1972530954 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Destruction of skin growth (HCPCS:17000)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Antibody evaluation (HCPCS:88350)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Antibody evaluation (HCPCS:88346)

The enumeration date for this NPI number is 6/27/2006 and was last updated on 5/22/2008.


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
1207ND0900XDermatologyDermatopathologyJ5401TEXASNo
2207N00000XDermatologyJ5401TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
185Z813MEDICARE PINTEXAS
285Z813OTHERTEXASBLUE CROSS AND BLUE SHIELD PATHOLOGY
3G45008MEDICARE UPINTEXAS
4044554601MEDICAIDTEXAS
5070012699OTHERTEXASRAILROAD MEDICARE PTAN
68A2686OTHERTEXASBLUE CROSS AND BLUE SHIELD CLINIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.