MRS. MEGHAN KATHLEEN DOHERTY (NPI# 1417059361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417059361 |
| Entity Type | Individual |
| Full Name | MRS. MEGHAN KATHLEEN DOHERTY |
| Credential | P.A. |
| Practice Address |
Lauderdale Student Health & Counseling,suny Geneseo 1 College Circle Geneseo NY 14454 |
| Practice Telephone | 5852455736 |
| Practice Fax Number | 5852455744 |
| Mailing Telephone | 5852455736 |
| Mailing Fax Number | 5852455744 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006920 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992124408 | Meghan Doherty | Social Worker | 12 5th Ave Apt 1f, New York, NY 10011-8826 | 2014-04-11 |
| 1053611350 | Meghan Doherty | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2010-11-02 |
| 1851534895 | Meghan E Doherty | Occupational Therapist | 4444 Forest Park Ave, C B 8505, Saint Louis, MO 63108-2212 | 2009-04-07 |
| Street Address |
LAUDERDALE STUDENT HEALTH & COUNSELING ,SUNY GENESEO 1 COLLEGE CIRCLE |
| City | GENESEO |
| State | NY |
| Zip Code | 14454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206537 | Mary Elizabeth Kruppner | Registered Nurse | 4050 Avon Road, Geneseo, NY 14454 | 2011-12-15 |
| 1639305089 | Genesis Internal Medicine Pllc | Internal Medicine | 50 E South St., Suite 600, Geneseo, NY 14454 | 2009-05-29 |
| 1912175621 | Nicholas H. Noyes Memorial Hospital | Clinic/Center | 4616 Milllenium Dr, Geneseo, NY 14454 | 2008-02-15 |
| 1770705188 | Vista Behavioral Health Medicine Pllc | Psychiatry & Neurology | 4245 Lakeville Rd, Suite 4a, Geneseo, NY 14454 | 2007-05-03 |
| 1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| 1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
| 1306993761 | Karla L. Mulligan | General Practice | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office, Geneseo, NY 14454 | 2007-01-05 |
| 1902989338 | Heather A Dailor | Registered Nurse | 1 College Circle, Lauderdale Center for Health and Counseling, Geneseo, NY 14454 | 2006-10-21 |
| 1447331582 | Peter H. Cormack | Psychologist | Peter H. Cormack 4828 Lakeville Road, Geneseo, NY 14454 | 2006-10-17 |
| 1235227497 | Lauren Suzanne Rosella | Dentist | 3 Park Street, Doty Dental, Geneseo, NY 14454 | 2006-10-11 |
| Find all providers in zip 14454 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.