WILLIAM DOUGHERTY


Address: 1631 Hospital Drive, Suite 240, Santa Fe, NM 87505-7601
Phone: 5059133975

WILLIAM DOUGHERTY (NPI# 1497842512) 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) 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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MD CAREFIRST MD BCBS 932970 01

Other Providers WILLIAM DOUGHERTY

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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

Office Location

Street Address 1631 HOSPITAL DRIVE, SUITE 240
City SANTA FE
State NM
Zip Code 87505-7601

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SANTA FE
Zip Code 87505

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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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