GERALD W DOHERTY (NPI# 1134114770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134114770 |
Entity Type | Individual |
Full Name | GERALD W DOHERTY |
Credential | PA-C |
Practice Address |
79 Kerwin Hill Rd Norwich VT 05055-9475 |
Practice Telephone | 8026493225 |
Practice Fax Number | 8023714488 |
Mailing Telephone | 8026493225 |
Mailing Fax Number | 8023714488 |
Enumeration Date | 2005-09-20 |
Last Update Date | 2008-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
055-0030712 | VT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 9000203 | 05 |
Street Address |
79 KERWIN HILL RD |
City | NORWICH |
State | VT |
Zip Code | 05055-9475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518593896 | Archer Dental Plc | Dentist | 303 Us Route 5 South, Norwich, VT 05055 | 2020-03-18 |
1275993800 | Stephanie Chesnut | Marriage & Family Therapist | 298 Main Street, Burton House, Norwich Square, Norwich, VT 05055 | 2016-02-24 |
1942644711 | Ji Chen | Pharmacist | 136 Stowell Road, Norwich, VT 05055 | 2013-04-24 |
1114102936 | Kate Elizabeth Van Arman | Nurse Practitioner | 130 Union Village Road, Norwich, VT 05055 | 2007-12-31 |
1932303575 | Frances Groves Prosser-riessen | Physical Therapist | 16 Beaver Meadow Rd, Norwich, VT 05055 | 2007-06-14 |
1457563389 | Mollie B Brooks | Social Worker | 89 Church Street, Norwich, VT 05055 | 2007-05-04 |
1508904913 | Doreen Gail Schweizer | Social Worker | 303 Route 5 South, Norwich, VT 05055 | 2007-02-01 |
1154495349 | Nancy E Baker Licsw PC | Social Worker | 186 Beaver Meadow Rd, Norwich, VT 05055 | 2006-11-20 |
1730259797 | James Maurice Napier | Psychiatry & Neurology | 295 Main Street, Norwich, VT 05055 | 2006-11-08 |
1942303938 | Eleanor J Anderson | Psychologist | 289 Main Street, The Burton House, Norwich, VT 05055 | 2006-09-06 |
Find all providers in zip 05055 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669031563 | Jaclyn Rose Neveu | Physician Assistant | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2019-06-13 |
1215216551 | Tara Michelle Niedzialkowski | Physician Assistant | 55 Calvary Dr, Norwich, NY 13815-1032 | 2011-08-04 |
1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
1003047481 | Melody Mukon | Physician Assistant | 330 Washington St, Suite 220, Norwich, CT 06360-2700 | 2009-08-03 |
1124274378 | Kelly Jean Way | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2008-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
1245554575 | Blue Collar Medicine | Physician Assistant | 36 Willey St, Barre, VT 05641-2500 | 2010-03-15 |
1770639247 | Elysabethe A James | Physician Assistant | 265 Aviation Ave, South Burlington, VT 05403-6060 | 2007-01-26 |
1407923329 | Martha Parnell Seagrave | Physician Assistant | 425 Pearl Street, Center for Health and Wellbeing, Burlington, VT 05401 | 2006-11-29 |
1639273246 | Tammy Michelle Gerdes | Physician Assistant | 1823 Vt Rte 107, Bethel, VT 05032-9107 | 2006-09-12 |
1174626089 | Patrick Heaney | Physician Assistant | 186 Medical Village Dr, Newport, VT 05855-8537 | 2006-09-06 |
1396754008 | Mary Elizabeth Hughes | Physician Assistant | 354 Mountain View Dr Ste 300, Four Seasons Dermatology, Colchester, VT 05446-5988 | 2006-08-05 |
1013938992 | Abigail Rose Brown | Physician Assistant | 173 S Main St, Rutland, VT 05701-4713 | 2006-07-23 |
1013973858 | Jeniane L. Rathburn | Physician Assistant | 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 | 2006-04-21 |
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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.