ROBERT P DOUGHERTY (NPI# 1932102241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932102241 |
| Entity Type | Individual |
| Full Name | ROBERT P DOUGHERTY |
| Credential | D.O. |
| Practice Address |
111 Clara Barton St Dansville NY 14437 |
| Mailing Address |
601 Elmwood Ave Box 679-b Rochester NY 14642-0001 |
| Practice Telephone | 5853358661 |
| Practice Fax Number | 5853358665 |
| Mailing Telephone | 5852751707 |
| Mailing Fax Number | 5853358665 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
209212 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02154621 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225239650 | Robert Lee Dougherty Jr. | Family Medicine | 13715 Poway Rd, Suite 1, Poway, CA 92064-4732 | 2007-05-31 |
| 1114935210 | Robert James Dougherty | Family Medicine | 441 Highway 71 W Ste B1, Bastrop, TX 78602-3937 | 2006-08-04 |
| 1891787529 | Robert Lee Dougherty | Physician Assistant | 412 Nw 3rd St, Casey, IL 62420-1014 | 2005-08-18 |
| 1154726362 | Robert N Dougherty | Physician Assistant | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4339 | 2014-10-30 |
| Street Address |
111 CLARA BARTON ST |
| City | DANSVILLE |
| State | NY |
| Zip Code | 14437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293693 | Arif Qureshi | Radiology | 111 Clara Barton St, Dansville, NY 14437-9503 | 2005-05-24 |
| 1083238760 | Nina Charlene Holbrook | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437-9527 | 2020-05-29 |
| 1992359178 | Kim Lynn Crandall | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437 | 2019-07-26 |
| 1609437870 | Amber Noragong | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437-9503 | 2019-06-27 |
| 1093376253 | Amy Bridge | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437-9503 | 2019-06-27 |
| 1326524406 | Jessica L Kershner | Physical Therapist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-07-12 |
| 1659865418 | Danielle Nicole Murtha | Nurse Practitioner | 111 Clara Barton St, Dansville, NY 14437 | 2018-06-15 |
| 1164919023 | Janet Rodger | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-04-17 |
| 1891292421 | Patrick J Conway | Technician/Technologist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2018-04-10 |
| 1831638345 | Gregory Talbot | Physical Therapist | 111 Clara Barton St, Dansville, NY 14437-9503 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487092185 | Heather Leigh Marble | Licensed Practical Nurse | 43 Morey Ave, Dansville, NY 14437 | 2013-06-05 |
| 1104905215 | James Conrad Vogler | Dentist | 64 Elizabeth Street, Dansville, NY 14437 | 2006-11-02 |
| 1467533430 | Community Hearing Services Ltd | Audiologist | 117 Franklin Street, Suite 300, Dansville, NY 14437 | 2006-10-18 |
| 1063420008 | Dansville Family Dental Care | Dentist | 201 Main St, Dansville, NY 14437 | 2006-08-04 |
| 1356591234 | Shifa Medical Pllc | Internal Medicine | 26 Red Jacket St, Dansville, NY 14437-0057 | 2008-09-26 |
| 1932303096 | Tri-county Family Medicine Program, Inc | Family Medicine | 60 Red Jacket Street, Suite 1, Dansville, NY 14437-0339 | 2007-06-13 |
| 1972831782 | Ayesha Tasaddaq | Family Medicine | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2009-12-07 |
| 1871551937 | Jill Matzek | Physician Assistant | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2006-05-01 |
| 1639137706 | Anthony Witte | Family Medicine | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2006-05-01 |
| 1962460014 | Geoffrey Wittig | Family Medicine | 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | 2006-05-01 |
| Find all providers in zip 14437 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235193087 | Syed Iqbal | Internal Medicine | 105 Main St, Dansville, NY 14437-1611 | 2006-04-17 |
| 1598729725 | Genesee Valley Cardiology Pllc | Internal Medicine | 105 Main St, Dansville, NY 14437-1611 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
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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.