Kevin R Dougherty (NPI# 1114188711, PAC ID# 4486871530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1114188711 |
| PAC ID by PECOS | 4486871530 |
| Professional Enrollment ID | I20140813001262 |
| Full Name | Kevin R Dougherty |
| Organization Legal Name | CONSULTING CARDIOLOGISTS PC |
| Address |
100 Simsbury Rd Suite 202 Avon CT 06001-3793 |
| Phone Number | 8605220604 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7113916149 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070017 | MIDSTATE MEDICAL CENTER |
| 070025 | HARTFORD HOSPITAL |
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Simsbury Rd, Suite 202, Avon, CT 06001-3793 | 8605220604 | CONSULTING CARDIOLOGISTS PC |
| 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 | 8605220604 | CONSULTING CARDIOLOGISTS PC |
| 85 Seymour St, Suite 805, Hartford, CT 06106-5527 | 8887473018 | CONNECTICUT HEART PHYSICIANS, INC. |
| 1062 Barnes Rd, Suite 300, Wallingford, CT 06492-2576 | 2032659831 | CONSULTING CARDIOLOGISTS PC |
| 74 Mack St, Windsor, CT 06095-2759 | 8605220604 | CONSULTING CARDIOLOGISTS PC |
| Organization Legal Name | CONSULTING CARDIOLOGISTS PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Jay Altszuler | Cardiovascular Disease (cardiology) | Consulting Cardiologists PC | 85 Seymour St, Suite 719, Hartford, CT 06106-5500 |
| Amanda J Votto | Physician Assistant | Consulting Cardiologists PC | 1062 Barnes Rd, Suite 300, Wallingford, CT 06492-2576 |
| Kimberly E Ellis | Physician Assistant | Consulting Cardiologists PC | 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 |
| Steven N Bleich | Cardiovascular Disease (cardiology) | Consulting Cardiologists PC | 85 Seymour St, Suite 719, Hartford, CT 06106-5500 |
| Jeffrey H Walden | Cardiovascular Disease (cardiology) | Consulting Cardiologists PC | 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 |
| Johanna Cahill | Physician Assistant | Consulting Cardiologists PC | 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 |
| Kevin J Tally | Cardiovascular Disease (cardiology) | Consulting Cardiologists PC | 100 Simsbury Rd, Suite 202, Avon, CT 06001-3793 |
| Michael T King | Physician Assistant | Consulting Cardiologists PC | 85 Seymour St, Suite 719, Hartford, CT 06106-5500 |
| Maximilian H Lee | Cardiovascular Disease (cardiology) | Consulting Cardiologists PC | 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 |
| Norman Roth | Cardiovascular Disease (cardiology) | Consulting Cardiologists PC | 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 |
| Street Address |
100 SIMSBURY RD SUITE 202 |
| City | AVON |
| State | CT |
| Zip | 06001-3793 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yousong Wang | Rheumatology | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Richard Quinitiliani Jr. | Infectious Disease | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Kellie A Motschmann | Obstetrics/gynecology | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Kelly Nolin | Nurse Practitioner | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Kathleen M Legeyt | Occupational Therapy | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Ronald J Rosenberg | Nuclear Medicine | Connecticut Imaging Partners, LLC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Betty Kupracz | Internal Medicine | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Maria Everhart-caye | Nephrology | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Shannon Elizabeth Berger | Physician Assistant | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Kristin Elek | Nurse Practitioner | Starling Physicians PC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Rindone | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Sasha Perry | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Peter A Talbot | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Elizabeth Zahoruiko | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Terese Fagan | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Jean Enderle | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Alexia Cortella | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Ellen Galat | Psychologist, Clinical | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Richard Panetta | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Nick Ramandi | Psychiatry | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Find all physicians in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | AVON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Kevin R Dougherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.