MICHAEL J DOUGHERTY


Address: 155 Wilson Ave, Dept of Radiation Oncology, Washington, PA 15301-3336
Phone: 7242233788

MICHAEL J DOUGHERTY (NPI# 1306817564) 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) 1306817564
Entity Type Individual
Full Name MICHAEL J DOUGHERTY
Credential M.D.
Practice Address 155 Wilson Ave
Dept of Radiation Oncology
Washington
PA 15301-3336
Mailing Address 2 Hot Metal St
Quantum One, N431
Pittsburgh
PA 15203-2348
Practice Telephone 7242233788
Practice Fax Number 7242292055
Mailing Telephone 4124325806
Mailing Fax Number 7124327691
Enumeration Date 2006-01-27
Last Update Date 2009-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD042918L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0014377780002 05
PA 0014377780001 05
OH 2586769 05
PA HIGHMARK BS 199313 01
PA CAQH 11453237 01
WV 3810002147 05
PA 0014377780012 05
PA 0014377780020 05
PA 0014377780055 05

Other Providers MICHAEL DOUGHERTY

NPI Name Taxonomy Address Enumeration
1881139939 Michael Dougherty Obstetrics & Gynecology 913 Village Drive West, North Brunswick, NJ 08902 2016-12-28
1114160439 Michael Christopher Dougherty Emergency Medical Technician, Paramedic Psc 37, Box 4813, Apo, AE 09459-9998 2009-04-16
1720276579 Michael Dougherty Physical Therapist 9441 Lbj Fwy Ste 101, Dallas, TX 75243-4566 2007-10-05
1790997781 Michael W Dougherty Audiologist 211 South St # 318, Philadelphia, PA 19147-2305 2007-05-04
1134228265 Michael James Dougherty Pediatrics 200 Patewwod Drive, Suite A200, Greenville, SC 29615-3585 2006-09-22
1932186210 Michael D Dougherty Physician Assistant 611 Sherman Ave East, Fort Atkinson, WI 53538 2005-12-28
1972129476 Michael Devin Dougherty Nurse Practitioner 1690 N Monroe St, Tallahassee, FL 32303-5533 2020-06-19
1437786407 Michael Dougherty Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-03-26
1245735133 Michael James Dougherty Student in an Organized Health Care Education/Training Program 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 2018-03-24
1679904999 Michael Dougherty Specialist/Technologist 5165 Adanson St, Orlando, FL 32804-1331 2013-12-12

Office Location

Street Address 155 WILSON AVE
DEPT OF RADIATION ONCOLOGY
City WASHINGTON
State PA
Zip Code 15301-3336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487656625 Alden G Mcbee Pathology 155 Wilson Ave, Washington, PA 15301-3336 2005-06-01
1598380776 Western Pennsylvania Surgical Specialists LLC Surgery 155 Wilson Ave, Washington, PA 15301-3336 2020-06-12
1801428073 Washington Physician Services Surgery 155 Wilson Ave, Washington, PA 15301-3336 2020-02-06
1033680772 Carlin Rose Gerba Nurse Practitioner 155 Wilson Ave, Washington, PA 15301-3336 2018-12-06
1013457787 Christian Michael Schmidt Physician Assistant 155 Wilson Ave, Washington, PA 15301-3336 2017-03-01
1669914198 Katie Heinrich Registered Nurse 155 Wilson Ave, Washington, PA 15301-3336 2016-11-15
1629510078 Laura Lucatorto Nurse Anesthetist, Certified Registered 155 Wilson Ave, Washington, PA 15301-3336 2016-11-15
1831543479 Khalil Qaderdan Internal Medicine 155 Wilson Ave, Washington, PA 15301-3336 2016-04-20
1952773806 Scarlet Oak Emergency Physicians, LLC Physician Assistant 155 Wilson Ave, Washington, PA 15301-3336 2015-10-30
1154793719 Amy Louise Bruckner Registered Nurse 155 Wilson Ave, Washington Hosp, Washington, PA 15301-3336 2015-10-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629601208 Tammi Kathleen Hanak Speech-Language Pathologist 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 2020-02-21
1922652460 Shannon Rouse Nurse Practitioner 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 2019-08-01
1700352291 Heather Mcvay PC Clinic/Center 2112 North Franklin Dr, Suite 3, Washington, PA 15301 2018-10-23
1689169880 Oper King Counselor 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 2018-06-29
1609374701 Centerville Clinics Inc Social Worker 201 Allison Ave, Washington High School, Washington, PA 15301 2018-01-24
1902304009 Centerville Clinics, Inc. Social Worker 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 2018-01-24
1780182873 Centerville Clinics, Inc Social Worker 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 2018-01-24
1700384807 Centerville Clinics Inc Social Worker 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 2018-01-24
1992203095 Centerville Clinics Inc Social Worker 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 2018-01-24
1578061784 Centerville Clinics, Inc. Social Worker 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 2018-01-23
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780023374 Yuan James Rao Radiology 2150 Pennsylvania Ave Nw, Dc Level, Washington, DC 20037-2003 2013-06-18
1528151990 Christina Irene Tsien Radiology 5255 Loughboro Rd Nw Bldg A1, Washington, DC 20016-2633 2006-09-30
1538266234 Nam Phong Nguyen Radiology 2041 Georgia Ave Nw Huh B810, Washington, DC 20060 2006-09-17
1073992038 Jill Remick Radiology 900 23rd St Nw, Washington, DC 20037-2342 2015-05-23
1063830347 Nitika Paudel Radiology 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2014-04-03
1992141782 Jennifer Vogel Radiology 5255 Loughboro Rd Nw, Washington, DC 20016-2633 2013-05-20
1821338682 Minh-phuong Huynh-le Radiology 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 2013-02-15
1083973556 Jonathan Lischalk Radiology 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 2012-05-03
1053686279 Aditya Halthore Radiology 5255 Loughboro Rd Nw, Washington, DC 20016-2633 2012-03-21
1205077781 Keith Robert Unger Radiology 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2009-03-13
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Competitor

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City WASHINGTON
Zip Code 15301

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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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