WILLIAM DOUGHERTY (NPI# 1497842512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497842512 |
Entity Type | Individual |
Full Name | WILLIAM DOUGHERTY |
Credential | MD |
Practice Address |
1631 Hospital Drive, Suite 240 Santa Fe NM 87505-7601 |
Practice Telephone | 5059133975 |
Mailing Telephone | 5059133975 |
Enumeration Date | 2006-10-09 |
Last Update Date | 2016-12-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | MD2010-0793 | NM | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD2010-0793 | NM | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD071147L | PA | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD38986 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST MD BCBS | 932970 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740722545 | William Ryan Dougherty | Registered Nurse | 5011 Norman Ave, Finleyville, PA 15332-1127 | 2016-11-09 |
1609054774 | William James Dougherty | Counselor | 3504 Freemansburg Ave, Palmer, PA 18045-5107 | 2008-01-31 |
1285797548 | William Francis Dougherty | Counselor | 301 W Grove St Ste 11, West Grove Professional Plaza, Clarks Summit, PA 18411-2079 | 2006-12-18 |
1134142797 | William Vincent Dougherty IIi | Dentist | 200 Little Falls St., Suite 506, Falls Church, VA 22046 | 2006-07-25 |
1174968440 | William M Dougherty | Otolaryngology | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2013-05-01 |
1063520880 | William L Dougherty | Physician Assistant | 615 S Hansell St, Thomasville, GA 31792-5556 | 2006-08-29 |
1326054404 | William E. Dougherty | Urology | 927 Broadway St, Suite 303, Quincy, IL 62301-2719 | 2006-07-31 |
1053346775 | William John Dougherty Jr. | Dentist | 3663 E Sunset Rd, Suite 107, Las Vegas, NV 89120-3218 | 2006-07-11 |
1548298789 | William Scott Dougherty | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
1669440343 | William G Dougherty | Occupational Therapist | 4100 Lake Otis Pkwy, Ste 314, Anchorage, AK 99508-5231 | 2006-03-09 |
Street Address |
1631 HOSPITAL DRIVE, SUITE 240 |
City | SANTA FE |
State | NM |
Zip Code | 87505-7601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
Find all providers in zip 87505 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285964445 | Morton H Goldstein | Plastic Surgery | 23 Calimo Cir, Santa Fe, NM 87505-8917 | 2010-01-10 |
1376650002 | James Green | Plastic Surgery | 1631 Hospital Dr # 150, Santa Fe, NM 87505 | 2006-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255536686 | Jason Phillip Adams | Plastic Surgery | 2300 E. 30th Bldg. B # 103, Farmington, NM 87401 | 2007-06-16 |
1184763195 | Jennifer Chan | Plastic Surgery | Sandia Plastic Surgery, 1020 Tijeras Ave. Ne, Albuquerque, NM 87106-4749 | 2007-02-06 |
1518045657 | New Mexico Plastic | Plastic Surgery | 1020 Tijeras Ave Ne Ste 16, Albuquerque, NM 87106-4749 | 2006-11-02 |
1336226075 | Miguel Lorenzo Gallegos | Plastic Surgery | 8004 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2006-11-01 |
1881780955 | Daniel Allan | Plastic Surgery | 4351 E Lohman Ave Ste 208, Las Cruces, NM 88011-8260 | 2006-10-05 |
1013029776 | Scot A Martin | Plastic Surgery | 141 S Roadrunner Pkwy, Suite 129, Las Cruces, NM 88011-2006 | 2006-08-31 |
1124033600 | Cesar Luis Cuadros | Plastic Surgery | 8232 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2429 | 2006-07-30 |
1720011315 | Aaron J Mayberry | Plastic Surgery | 7115 Prospect Pl Ne, Albuquerque, NM 87110-4313 | 2006-07-08 |
1871931386 | Garrett Daniel Wegerif | Plastic Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2013-06-06 |
1407171408 | Sandia Plastic Surgery, PC | Plastic Surgery | 801 Encino Place Ne, Suite D7, Albuquerque, NM 87102 | 2010-04-01 |
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.