DR. AMY MCCANDLESS DOUGHERTY (NPI# 1184885881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184885881 |
| Entity Type | Individual |
| Full Name | DR. AMY MCCANDLESS DOUGHERTY |
| Other Name | DR. AMY ELIZABETH MCCANDLESS |
| Credential | D.P.M. |
| Practice Address |
8001 Roosevelt Blvd Suite 203 Philadelphia PA 19152-3038 |
| Practice Telephone | 2153325300 |
| Practice Fax Number | 2153325228 |
| Mailing Telephone | 2153325300 |
| Mailing Fax Number | 2153325228 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
25MD00320000 | NJ | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC006066 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00320000 | NJ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006066 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1030852380001 | 05 | |
| NJ | 7844107 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154609071 | Amy Alicia Dougherty | Nurse Practitioner | 800 Spruce, Philadelphia, PA 19107-5211 | 2011-07-26 |
| 1568617181 | Amy E Dougherty | Speech-Language Pathologist | 2568 Algonkin Trl, Manasquan, NJ 08736-2330 | 2008-11-24 |
| 1063420420 | Amy Marie Dougherty | Physical Therapist | 102 Pinnacle Ct, Kitty Hawk, NC 27949 | 2006-08-03 |
| 1053931949 | Amy Lynn Dougherty | Nurse Practitioner | 801 Tilghman Dr Ste A, Dunn, NC 28334-4958 | 2020-04-21 |
| Street Address |
8001 ROOSEVELT BLVD SUITE 203 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463073 | Christina L Chambley | Physician Assistant | 8001 Roosevelt Blvd, Suite 307, Philadelphia, PA 19152-3038 | 2005-08-09 |
| 1184090383 | Care Connection Counseling | Social Worker | 8001 Roosevelt Blvd, #301, Philadelphia, PA 19152-3038 | 2015-08-11 |
| 1134504822 | Marilyn Della Pia | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2015-07-23 |
| 1932599958 | Esther Shoshana Honeyman | Counselor | 8001 Roosevelt Blvd, Suite 205, Philadelphia, PA 19152-3038 | 2015-01-28 |
| 1912307976 | Janice Roberts | Counselor | 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152-3038 | 2014-08-27 |
| 1497169387 | Elizabeth Klotz | Counselor | 8001 Roosevelt Blvd, 301, Philadelphia, PA 19152-3038 | 2014-06-18 |
| 1134532757 | Anita Wilkerson | Social Worker | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2014-06-11 |
| 1427471168 | New Path Md Inc | Internal Medicine | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2014-01-31 |
| 1124464821 | Lauren Green | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2013-05-21 |
| 1265792311 | Dorothy Dolan | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
| 1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
| 1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
| 1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
| 1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on DR. AMY MCCANDLESS DOUGHERTY.
| 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.