MARK J. DOHERTY (NPI# 1801892260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801892260 |
| Entity Type | Individual |
| Full Name | MARK J. DOHERTY |
| Credential | M.D. |
| Practice Address |
1151 Ellis St Ste 202 Bellingham WA 98225-5203 |
| Practice Telephone | 3607462380 |
| Mailing Telephone | 3607462380 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00020973 | WA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD00020973 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8180382 | 05 | |
| WA | L&I/CRIME VICTIMS | 0230370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669823043 | Mark Doherty | Behavioral Analyst | 7 Bishop St, Framingham, MA 01702-8323 | 2016-06-27 |
| 1194818872 | Mark E Doherty | Dentist | 1155 Purchase St., New Bedford, MA 02740 | 2006-10-02 |
| 1952400079 | Mark Robert Doherty | Dentist | 26 Surfside Rd, Pryor, OK 74361-3306 | 2006-09-22 |
| 1144862822 | Mark Doherty | Massage Therapist | 623 Broadway, Massapequa, NY 11758-5027 | 2019-10-14 |
| 1497038145 | Mark Thomas Doherty | Pharmacist | 120 E Main St, Streator, IL 61364-2901 | 2011-09-20 |
| 1285696674 | Mark Doherty | Oral & Maxillofacial Surgery | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-04-03 |
| 1467423871 | Mark Gerard Doherty | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2006-02-01 |
| Street Address |
1151 ELLIS ST STE 202 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215179502 | Corinne Marie Hecht | Dermatology | 4465 Cordata Pkwy Ste B, Bellingham, WA 98226 | 2009-04-01 |
| 1023293792 | Elizabeth M. Vennos, Md | Dermatology | 2075 Barkley Blvd Ste 230, Bellingham, WA 98226-6697 | 2007-12-31 |
| 1215028527 | Richard Lynn Gardner | Dermatology | 3614 Meridian Ste 200, Bellingham, WA 98225 | 2006-09-28 |
| 1922103332 | Elizabeth Katrina Ross | Dermatology | 3614 Meridian, Ste 200, Bellingham, WA 98225 | 2006-09-13 |
| 1053428490 | Jan Peter Dank | Dermatology | 905 Squalicum Way, Suite 101, Bellingham, WA 98225-2076 | 2006-08-23 |
| 1255728887 | Birch Bay Dermatology P.s. | Dermatology | 4540 Cordata Pkwy, Ste 101, Bellingham, WA 98226-8059 | 2015-04-21 |
| 1528180015 | Thomas J. Langei | Dermatology | 3105 Old Fairhaven Pkwy, Suite 101, Bellingham, WA 98225 | 2007-04-04 |
| 1447312384 | Susan Margaret Kallal | Dermatology | 4540 Cordata Pkwy, Suite 101, Bellingham, WA 98226-8059 | 2006-12-15 |
| 1366519621 | Richard C Steinberg | Dermatology | 4465 Cordata Pkwy, Bellingham, WA 98226-8037 | 2006-11-29 |
| 1497826424 | Nizar R. Makan | Dermatology | 4465 Cordata Pkwy, Bellingham, WA 98226-8037 | 2006-11-13 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.