T Lynn Warthan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D8472 Issued in TX

Practice address

4730 NE Stallings Drive
Nacogdoches, TX 75965

Phone

(936) 564-6107

Fax

(936) 564-5124

NPI assigned

Nov 17, 2006

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical Branch at Galveston, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warthan Dermatology Nacogdoches PLLCGroup PAC ID 9638582844, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warthan Dermatology Nacogdoches PLLC

  • Dermatology Physician
  • Nacogdoches, TX
  • NPI 1144820135
  Medicare reassignment Care Compare group NPD
• Warthan Dermatology Center

  • Dermatology Physician
  • Nacogdoches, TX
  • NPI 1003350760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1679647317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 NE STALLINGS DRIVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-564-6107",
            "fax_number": "936-564-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 NE STALLINGS DRIVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-564-6107",
            "fax_number": "936-564-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTHAN",
        "first_name": "T",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "D8472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Wall
• Gregory Scott Wallis, CRNA
• Aisha Ligon Warfield, APRN
• Warthan Dermatology Center
• Warthan Dermatology Nacogdoches PLLC
• Melinda Watts, ATC
• Daniel Allison Weaver, D.D.S.,M.S
• Deana Marie Weaver
• Christy Michelle Webb, LMSW
• Andrea Sue Wenner, DO

• Dermatology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.