DR. SEAN T DOHERTY (NPI# 1265549307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265549307 |
Entity Type | Individual |
Full Name | DR. SEAN T DOHERTY |
Credential | M.D. |
Practice Address |
1 Brookline Pl Ste 427 Brookline MA 02445-7296 |
Mailing Address |
360 Newbury St Unit 402 Boston MA 02115-2707 |
Practice Telephone | 6177358735 |
Practice Fax Number | 6177358735 |
Mailing Telephone | 9783694499 |
Mailing Fax Number | 8667437213 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 229269 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0003976 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
69 Newbury St Ste 5, Boston, MA 021163066 | 6174500070 | 8005361059 |
John Cuming Bldg, Suite 700, 131 Old Road To Nine Acre Corner, Concord, MA 01742 | 9783694499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043862568 | Sean Doherty | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2019-07-15 |
1629581046 | Sean Roger Doherty | Physical Therapy Assistant | 484 Main St, Worcester, MA 01608-1893 | 2017-11-07 |
1578726121 | Sean David Doherty | Dermatology | 2120 Professional Dr, Roseville, CA 95661-3700 | 2008-07-03 |
1841400199 | Sean C Doherty | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2007-05-23 |
Street Address |
1 BROOKLINE PL STE 427 |
City | BROOKLINE |
State | MA |
Zip Code | 02445-7296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952543506 | Catherine Marie Digiorgio | Dermatology | 1 Brookline Pl Ste 427, Brookline, MA 02445-7296 | 2009-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
Find all providers in zip 02445 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053300145 | Donald Jay Morris | Plastic Surgery | 235 Cypress St, Suite 210, Brookline, MA 02445-6776 | 2005-10-20 |
1003209883 | Kendra Read | Plastic Surgery | 235 Cypress St, Brookline, MA 02445-6776 | 2015-03-18 |
1447578901 | Derek Daniel Reformat | Plastic Surgery | 235 Cypress St, Suite 210, Brookline, MA 02445-6776 | 2010-05-08 |
1518034248 | Leonard B Miller | Plastic Surgery | 1 Brookline Pl, Brookline, MA 02445-7224 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568083285 | Hpss-wpho, Inc | Plastic Surgery | 92 Montvale Ave Ste 3300, Stoneham, MA 02180-3652 | 2020-05-05 |
1134762693 | Clareo Aesthetics | Plastic Surgery | 25 Boylston St Ste 304, Chestnut Hill, MA 02467-1710 | 2019-10-28 |
1407375454 | Michael Kutka Md Inc | Plastic Surgery | 62 Brown St Ste 206, Haverhill, MA 01830-6790 | 2017-09-11 |
1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
1700299245 | Greater Boston Plastic Surgery & Luxe Aesthetics | Plastic Surgery | 10 Roseberry Dr, Boylston, MA 01505-2024 | 2014-06-03 |
1831510528 | Aesthetic Plastic Surgery of North Shore PC | Plastic Surgery | 29 Hickory Hill Rd, Manchester, MA 01944-1575 | 2013-12-23 |
1881036903 | Richard V. Montilla M.d, P.C. | Plastic Surgery | 123 Summer St Ste 675, Worcester, MA 01608-1216 | 2013-07-18 |
1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
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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.