ELIZABETH ROSE DOHERTY (NPI# 1093036790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093036790 |
| Entity Type | Individual |
| Full Name | ELIZABETH ROSE DOHERTY |
| Credential | MD |
| Practice Address |
2202 S Park St Madison WI 53713 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6084435480 |
| Practice Fax Number | 6084435534 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 69243-20 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 69243-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171948 | Elizabeth K Doherty | Counselor | 664 Dorchester Ave, South Boston, MA 02127-3537 | 2019-06-05 |
| 1740316389 | Elizabeth Mary Doherty | Counselor | 230 E Superior St, Suite 101, Duluth, MN 55802-2185 | 2007-02-26 |
| 1174691273 | Elizabeth Anne Doherty | Psychiatry & Neurology | 819 Hackney Ln, Lewiston, NY 14092-2053 | 2006-11-30 |
| 1588175640 | Elizabeth Ann Doherty I | Counselor | 72 Kilburn St, New Bedford, MA 02740-7321 | 2017-10-17 |
| 1275051351 | Elizabeth Frances Doherty | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2017-09-08 |
| 1275961427 | Elizabeth Doherty | Occupational Therapist | 5441 Babcock Rd, Ste. 200, San Antonio, TX 78240-3993 | 2013-10-25 |
| 1770831091 | Elizabeth Autumn Doherty | Occupational Therapy Assistant | 900 N Taylor St, Arlington, VA 22203-1858 | 2012-08-16 |
| 1194086850 | Elizabeth Smith Doherty | Family Medicine | 555 N Duke St, Lancaster, PA 17602-2250 | 2012-05-30 |
| 1942435243 | Elizabeth Mahar Doherty | Dental Hygienist | 131 Main St, Mexico, ME 04257-1412 | 2009-05-16 |
| 1457385908 | Elizabeth Doherty | Nurse Practitioner | 601 Elmwood Ave # 647, Rochester, NY 14642-0001 | 2006-07-10 |
| Street Address |
2202 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457370892 | Susan Swenson | Nutritionist | 2202 S Park St, Madison, WI 53713-1916 | 2006-07-18 |
| 1053953190 | Shannon M Mccarrick | Psychologist | 2202 S Park St, Madison, WI 53713-1916 | 2019-10-10 |
| 1578043493 | Katrina Johnson | Psychologist | 2202 S Park St, Madison, WI 53713 | 2018-08-20 |
| 1154828226 | Misty M Romero Rivera | Nurse Practitioner | 2202 S Park St, Madison, WI 53713-1916 | 2018-04-06 |
| 1710488648 | Shannon Clara Anderson | Nurse Practitioner | 2202 S Park St, Madison, WI 53713-1916 | 2018-02-26 |
| 1417461666 | Laboratory Corporation of America | Clinical Medical Laboratory | 2202 S Park St, Madison, WI 53713-1916 | 2017-11-27 |
| 1548795883 | Malia Thao | Dentist | 2202 S Park St, Madison, WI 53713-1916 | 2017-04-24 |
| 1346790334 | Alexander Smith | Psychologist | 2202 S Park St, Madison, WI 53713-1916 | 2016-10-13 |
| 1902254659 | Jamie Colvin | Social Worker | 2202 S Park St, Madison, WI 53713-1916 | 2016-06-02 |
| 1669857934 | University of Wisconsin Hospitals and Clincs Authority | Pharmacy | 2202 S Park St, Madison, WI 53713-1916 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1063927465 | Healthcare Plus Limited Liability Company | Internal Medicine | 315 Summer Oak Trl, Madison, MS 39110-9147 | 2017-12-07 |
| 1326575168 | Jacob Ira Morgan | Internal Medicine | 104 Perry Williams Rd, Madison, MS 39110-8307 | 2017-05-11 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1104266600 | Samih Khauli | Internal Medicine | 822 E Washington Ave Apt 900, Madison, WI 53703-6511 | 2013-06-28 |
| 1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
| 1962753855 | Karl Winfield Hatten Sr. | Internal Medicine | 117 Greens View Dr, Madison, MS 39110-8050 | 2012-10-02 |
| 1497019863 | Kristen Crawford | Internal Medicine | 401 Baptist Dr Ste 104, Madison, MS 39110-2010 | 2012-06-29 |
| 1114281680 | Meghan Poole | Internal Medicine | 106 Highland Way Ste 103, Madison, MS 39110 | 2012-06-29 |
| 1215202056 | Arthur Decillis | Internal Medicine | 80 Devonshire Ln, Madison, CT 06443-1681 | 2012-03-13 |
| Find all providers in MADISON | ||||
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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.