DR. CONSTANCE DOUGHERTY (NPI# 1184173239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184173239 |
| Entity Type | Individual |
| Full Name | DR. CONSTANCE DOUGHERTY |
| Credential | MD |
| Practice Address |
452 Pythian Rd Santa Rosa CA 95409-6349 |
| Mailing Address |
Po Box 2064 Santa Rosa CA 95405-0064 |
| Practice Telephone | 7075297124 |
| Mailing Telephone | 7075297124 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G40100 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
452 PYTHIAN RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-6349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254594 | St Jude Hospital Yorba Linda | Emergency Medicine | 925 Corporate Cntr Pkwy, Suite A, Santa Rosa, CA 95407-5451 | 2016-02-09 |
| 1194074542 | John Daniel Spenst | Emergency Medicine | 607 Cherry St, Santa Rosa, CA 95404-4202 | 2012-08-30 |
| 1730235540 | Jason Smith Day | Emergency Medicine | 301 Breeden St, Santa Rosa, CA 95409 | 2007-01-25 |
| 1427157262 | Dawn H. Magdalin-betts | Emergency Medicine | 3250 Oak Farm Ln, Santa Rosa, CA 95401-4046 | 2006-09-21 |
| 1669416285 | Gary Mc Calla | Emergency Medicine | 1165 Montgomery Drive, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4897 | 2006-06-15 |
| 1144261637 | Stephen R Levinson | Emergency Medicine | Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405-4897 | 2006-06-08 |
| 1346224292 | Edward Wilhelm Hard Jr. | Emergency Medicine | 3854 Rocky Point Way, Santa Rosa, CA 95404-7606 | 2005-12-05 |
| 1528512688 | Sutter Bay Medical Foundation | Emergency Medicine | 3883 Airway Dr, Suite 120, Santa Rosa, CA 95403-1670 | 2016-08-06 |
| 1033555024 | Christina Marie Goodwin | Emergency Medicine | 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405-4801 | 2013-05-16 |
| 1225387152 | Sonali Patel | Emergency Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405 | 2012-09-06 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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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.