Thomas Dougherty (NPI# 1043374515, PAC ID# 8921178559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1043374515 |
| PAC ID by PECOS | 8921178559 |
| Professional Enrollment ID | I20080609000253 |
| Full Name | Thomas Dougherty |
| Address |
5317 Limestone Rd Wilmington DE 19808-1252 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080001 | CHRISTIANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5317 Limestone Rd, Wilmington, DE 19808-1252 |
| Street Address |
5317 LIMESTONE RD |
| City | WILMINGTON |
| State | DE |
| Zip | 19808-1252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marquita Y Johniken | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Ernest B Tamajong | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Eric Cole | Psychologist, Clinical | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Barbara H Sartell | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Karen L Tanner | Certified Clinical Nurse Specialist (cns) | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Karl Alan Whitlock | Psychologist, Clinical | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Angela Borrell | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Flora A Atangcho | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Ashley Elizabeth Lo Sapio | Psychologist, Clinical | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Mary Bernal-clark | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Find all physicians in zip 19808 | |||
| City | WILMINGTON |
| Zip Code | 19808 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | WILMINGTON + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Thomas 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.