DAVID DOUGHERTY (NPI# 1366655920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366655920 |
| Entity Type | Individual |
| Full Name | DAVID DOUGHERTY |
| Credential | M.D. |
| Practice Address |
450 Brookline Ave Boston MA 02215 |
| Mailing Address |
450 Brookline Ave Boston MA 02215-5418 |
| Practice Telephone | 6176325389 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 273634 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
273634 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Brookline Ave, Boston, MA 02215 | 6176325389 | |
| 601 Elmwood Avenue, Rochester, NY 146420001 | 5852755863 | 5852751051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104261445 | David Dougherty | Internal Medicine | 1720 Nicholasville Rd Ste 602, Lexington, KY 40503-1488 | 2013-04-30 |
| 1811065857 | David Scott Dougherty | Occupational Therapist | 4411 Point Fosdick Dr Ste 101, Gig Harbor, WA 98335-1703 | 2006-11-30 |
| 1760494892 | David John Dougherty | Surgery | 8262 Atlee Rd, Mob IIi, Suite 205, Mechanicsville, VA 23116-1816 | 2006-08-13 |
| 1205858917 | David Charles Dougherty | Internal Medicine | 3838 San Dimas St, Suite A200, Bakersfield, CA 93301-2284 | 2006-07-24 |
| 1235196189 | David R Dougherty | Internal Medicine | 295 Essjay Rd, Williamsville, NY 14221-8216 | 2006-04-26 |
| Street Address |
450 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172149 | Osama E. Rahma | Internal Medicine | 450 Brookline Ave, Dana-farber Cancer Institute, Boston, MA 02215-5418 | 2005-08-31 |
| 1508472465 | Joanna Mercado | Genetic Counselor, MS | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-09-16 |
| 1588277917 | Gertrude Andre | Registered Nurse | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-25 |
| 1396355814 | Chaiyapruk Phantumvanit | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-08-10 |
| 1689284465 | Jennifer Anne Falb | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-05 |
| 1245840628 | Kathrine Fleming | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-07-31 |
| 1205454642 | Arianna Gabriella Maida | Physician Assistant | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-07-13 |
| 1326663964 | Tsz-yi Wendy Chen | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-06-09 |
| 1891315354 | Sarah Studley | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-24 |
| 1447889902 | Jessie Margaret Brain | Student in an Organized Health Care Education/Training Program | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782644 | Tal Sella | Internal Medicine | 450 Brookline Ave Fl Yawkey12, Boston, MA 02215-5418 | 2018-08-30 |
| 1154610376 | Kien-ninh Ina Ly | Internal Medicine | Pappas Center for Neuro-oncology, Yawkey 9e, 55 Fruit Street, Boston, MA 02114 | 2011-03-29 |
| 1891953196 | Lakshmi Nayak | Internal Medicine | 450 Brookline Ave # Da2108a, Boston, MA 02215-5418 | 2008-05-23 |
| 1487844528 | Iain J Webb | Internal Medicine | 20 Fayette St, Apt #2, Boston, MA 02116-5507 | 2007-07-25 |
| 1265557102 | Jason S Fisherman | Internal Medicine | 184 High St, 4th Floor, Boston, MA 02110-3001 | 2007-03-20 |
| 1306871637 | Irene M Ghobrial | Internal Medicine | Dana Farber Cancer Institute, 44 Binney Street, Boston, MA 02215 | 2006-07-12 |
| 1265464788 | James W Mier | Internal Medicine | Beth Israel Med Center, 330 Brookline Ave, Boston, MA 02215 | 2006-07-07 |
| 1013956002 | Michael A Goldstein | Internal Medicine | Beth Israel Deconess Medical Center, 330 Brookline Ave, Boston, MA 02216-0001 | 2006-06-05 |
| 1285671453 | Jill N Allen | Internal Medicine | 55 Fruit Street Yawkey 7e, Massachusetts General Hospital, Boston, MA 02114 | 2006-05-31 |
| 1487600961 | Levi A Garraway | Internal Medicine | 44 Binney Street, D1542, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-05-26 |
| Find all providers in BOSTON | ||||
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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.