DR. BERT G. DOUGHERTY (NPI# 1013977446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013977446 |
| Entity Type | Individual |
| Full Name | DR. BERT G. DOUGHERTY |
| Credential | M.D. |
| Practice Address |
3059 S Maryland Pkwy 100 Las Vegas NV 89109-2294 |
| Mailing Address |
7455 W Washington Ave Ste 301 Las Vegas NV 89128-4340 |
| Practice Telephone | 7027323441 |
| Practice Fax Number | 7027322310 |
| Mailing Telephone | 7027323441 |
| Mailing Fax Number | 7027322310 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
41713 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
13408 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
3059 S MARYLAND PKWY 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713909 | Yashpal D Agrawal | Pathology | 3059 S Maryland Pkwy, Suite 100, Las Vegas, NV 89109-2294 | 2005-10-06 |
| 1629327291 | Julie Lynne Carabajal | Nurse Practitioner | 3059 S Maryland Pkwy, Ste 202, Las Vegas, NV 89109-2294 | 2012-08-29 |
| 1619107091 | Delicia L Munfus-mccray | Pathology | 3059 S Maryland Pkwy, Suite 100, Las Vegas, NV 89109-2294 | 2009-07-21 |
| 1730216136 | David L Holland | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3059 S Maryland Pkwy, #202, Las Vegas, NV 89109-2294 | 2007-02-27 |
| 1588790166 | Maurice Pockey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3059 S Maryland Pkwy, #202, Las Vegas, NV 89109-2294 | 2007-02-26 |
| 1811083637 | Alonzo Ashton | Pathology | 3059 S Maryland Pkwy, Suite 100, Las Vegas, NV 89109-2294 | 2006-10-05 |
| 1417918376 | Marcus Anthony Erling | Pathology | 3059 S Maryland Pkwy, #100, Las Vegas, NV 89109-2294 | 2006-03-30 |
| 1871554733 | James Lee Unger | Pathology | 3059 S Maryland Pkwy, Las Vegas, NV 89109-2294 | 2006-03-30 |
| 1760459184 | Brian P Mcnally | Pathology | 3059 S Maryland Pkwy, Suite 100, Las Vegas, NV 89109-2294 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518324268 | Umbach Medical Group Pllc | Pathology | 7385 S Pecos Rd Ste 103, Las Vegas, NV 89120-3768 | 2016-01-26 |
| 1730195322 | Patrick Lee Knight | Pathology | 4230 Burnham Avenue, Las Vegas, NV 89119 | 2006-08-01 |
| 1811950082 | Edith Francisca Schmidt | Pathology | 4230 Burnham Ave, Associated Pathologists, Chartered, Las Vegas, NV 89119 | 2006-04-10 |
| 1497716351 | Ronald Joe Slaughter | Pathology | 3441 W Sahara Ave, Suite C2, Las Vegas, NV 89102-6061 | 2006-03-30 |
| 1952362949 | Noel Sicat Yumiaco | Pathology | 3059 S Maryland Parkway, 100, Las Vegas, NV 89109-2315 | 2006-03-29 |
| 1578563250 | Louis Maier Fink | Pathology | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2005-07-26 |
| 1114456407 | Sheva Khalafbeigi | Pathology | 7455 W Washington Ave Ste 301, Las Vegas, NV 89128 | 2017-06-08 |
| 1366899916 | Sierra R Musick | Pathology | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2016-05-24 |
| 1457779985 | Alpa Bharat Shah | Pathology | 7455 W Washington Ave Ste 301, Las Vegas, NV 89128-4340 | 2014-04-02 |
| 1811230675 | Michael Waisberg | Pathology | 4230 Burnham Ave, Las Vegas, NV 89119 | 2013-03-30 |
| Find all providers in LAS VEGAS | ||||
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| 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.