JOHN D DOUGHERTY III


Address: 555 E. Vuelta Caminata Del Rio, Oro Valley, AZ 85737
Phone: 5205475688

JOHN D DOUGHERTY III (NPI# 1043252844) 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) 1043252844
Entity Type Individual
Full Name JOHN D DOUGHERTY III
Credential M.D.
Practice Address 555 E. Vuelta Caminata Del Rio
Oro Valley
AZ 85737
Practice Telephone 5205475688
Practice Fax Number 5205474661
Mailing Telephone 5205475688
Mailing Fax Number 5205474661
Enumeration Date 2006-06-13
Last Update Date 2018-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
41024 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ PTAN Z139672 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
760 E Pusch View Ln, Suite 100, Oro Valley, AZ 857379235 5205475688 5205474661

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Office Location

Street Address 555 E. VUELTA CAMINATA DEL RIO
City ORO VALLEY
State AZ
Zip Code 85737

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568959807 Ama Medical Services Mohamed Coulibaly Dit Fall Sole Mbr Nurse Practitioner 11069 N Mountain Breeze Dr, Tucson, AZ 85737 2018-04-20
1174045736 Mojgan Rezaei Acupuncturist 10371 N. Oracle Rd, Suite 101a, Oro Valley, AZ 85737 2017-07-14
1558882977 Oro Valley Health and Wellness Chiropractic, PC Chiropractor 11115 N La Canada, Ste. 155, Oro Valley, AZ 85737 2017-07-06
1912361395 Shane Durkin Anesthesiology 11845 N Cassiopeia Dr, Oro Valley, AZ 85737 2016-04-11
1003239237 Jay C Wise Pharmacist 1682 W Petunia Pl, Tucson, AZ 85737 2014-01-23
1679867048 Anthony Robert Palmieri Pharmacist 10555 N Oracle Rd., Cvs In Target #16217, Oro Valley, AZ 85737 2011-06-02
1215159124 Ruby Lynn Guyot Physical Therapist 809 W. Annandale Way, Oro Valley, AZ 85737 2007-05-02
1255430641 Joyce A Hagin Dentist 10550 N. Lacanada Dr, Suite # 106, Oro Valley, AZ 85737 2006-09-21
1801806294 Rebecca Anne Franzi-osborne Internal Medicine 10515 N. Oracle Road, Suite 185, Oro Valley, AZ 85737 2006-08-08
1558391672 Eun Joo Oh Internal Medicine 555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737 2006-07-04
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205930500 Oro Valley Medicine LLC Internal Medicine 1171 E Rancho Vistoso Blvd Ste 143, Oro Valley, AZ 85755-9101 2006-09-08
1679012181 Oro Valley Adult Medicine Pa LLC Internal Medicine 555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737 2017-02-16

Providers in the same taxonomy and state

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1669942645 Golden Trinity Healthcare LLC Internal Medicine 40616 W Art Pl, Maricopa, AZ 85138-5221 2018-12-03
1013485762 Todd Charles Coslett Internal Medicine 4149 W Kaler Dr, Phoenix, AZ 85055 2018-11-09
1689126971 Azmobilemd Internal Medicine 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 2016-11-02
1699190777 Matthew D Skinner, Md, P.C. Internal Medicine 6740 W Deer Valley Rd Ste D107, Pmb 105, Glendale, AZ 85310-5952 2014-02-26
1114218088 Toh-hoai W. Lim, I Internal Medicine 24407 S Agate Dr, Sun Lakes, AZ 85248-0878 2011-04-27
1437457058 Southwest Geriatrics & Internal Medicine Pllc Internal Medicine 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 2011-03-06
1538473483 Wissam Fayad Md PC Internal Medicine 1841 W 25th Street, Ste A, Yuma, AZ 85364 2010-08-03
1417103599 D & M Medical Clinic, PC Internal Medicine 10503 W Thunderbird Blvd Ste 202, Sun City, AZ 85351-2746 2008-08-08
1194917716 Stephanie Catherine Bravo Internal Medicine 4716 E Burns St, Tucson, AZ 85711-3015 2007-08-16
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Competitor

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City ORO VALLEY
Zip Code 85737

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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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