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Deactivated NPI 1306996095 Deactivated / Inactive NPI Male Practitioner

Dr. Billy Gene Dodge , MD

Dermatology • Tyler, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Billy Dodge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Billy Dodge, MD was a registered Dermatology practicing in Tyler, TX. Throughout an active medical career spanning 15 years, Dr. Dodge provided care at the practice location at 1020 E LAKE ST until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1020 E Lake St

Tyler, TX 757012033

Telephone 9035953581
Fax 9035953582

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.1 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Tyler, TX (1210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX C8948

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1020 E LAKE ST, TYLER, TX 757012033 (Tel: 9035953581)

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Updated Business Mailing Address July 08, 2007

Registered at 1020 E LAKE ST, TYLER, TX 757012033 (Tel: 9035953581)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BILLY DODGE, M. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #C8948 in TX)

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Initial NPI Registration & Enumeration January 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306996095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

1020 E Lake St

Tyler, TX 757012033

Phone: 9035953581

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.