DR. THERESA CONOLOGUE


Address: 1101 Sam Perry Blvd Ste 121, Fredericksburg, VA 22401-4465
Phone: 5408991600

DR. THERESA CONOLOGUE (NPI# 1053407452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053407452
Entity Type Individual
Full Name DR. THERESA CONOLOGUE
Credential DO
Practice Address 1101 Sam Perry Blvd Ste 121
Fredericksburg
VA 22401-4465
Practice Telephone 5408991600
Mailing Telephone 5408991600
Enumeration Date 2006-10-04
Last Update Date 2013-04-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NS0135X Dermatology
Specialization: Procedural Dermatology
0102201892 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 1101 SAM PERRY BLVD STE 121
City FREDERICKSBURG
State VA
Zip Code 22401-4465

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Taxonomy Information

Taxonomy Code 207NS0135X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Procedural Dermatology

Taxonomy Definition

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).
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558653725 John Eric Jackson Dermatology 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 2011-05-06
1609851609 Patricia P Stevens Dermatology 1300 Thornton St, Fredericksburg, VA 22401-4654 2005-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225343262 Mary Francis Hunter Dermatology 100 2nd St Nw, Charlottesville, VA 22902-5193 2010-08-14
1932426418 Patricia Lucey Dermatology 8100 Boone Blvd, Suite 300, Vienna, VA 22182-4621 2010-04-23
1265635114 Bridget M Bryer Dermatology 215 Wayles Ln Ste 150, Charlottesville, VA 22911-4631 2007-06-07
1083708655 Hoang Nguyen Pham Dermatology 4326 Evergreen Lane, Suite A, Annandale, VA 22003 2006-10-03
1407867500 Chauncey A. Mchargue Dermatology 1100 Sunset Ln, Suite 1212, Culpeper, VA 22701-3307 2006-08-11
1922049006 Center for Skin Surgery Pllc Dermatology 8301 Old Court House Rd, Vienna, VA 22182 2006-06-09
1952387060 Martin S Horn Dermatology 10721 Main Street, Suite 3100, Fairfax, VA 22030-6906 2005-12-20
1922005537 Linda Park Nims Dermatology 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 2005-06-29
1023550654 James River Dermatology Pllc Dermatology 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 23111 2016-11-14
1417400763 Monica Ka Yi Li Dermatology 125 Market St, Virginia Beach, VA 23462-6794 2016-08-03
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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