GERALD W DOHERTY


Address: 79 Kerwin Hill Rd, Norwich, VT 05055-9475
Phone: 8026493225

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
VT 9000203 05

Office Location

Street Address 79 KERWIN HILL RD
City NORWICH
State VT
Zip Code 05055-9475

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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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

Providers in the same taxonomy and state

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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City NORWICH
Zip Code 05055

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Dataset Information

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.

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