MATTHEW T. DOHERTY (NPI# 1356501068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356501068 |
| Entity Type | Individual |
| Full Name | MATTHEW T. DOHERTY |
| Credential | MD |
| Practice Address |
5424 Discovery Park Blvd Williamsburg VA 23188 |
| Mailing Address |
860 Omni Blvd Ste 101 Newport News VA 23606-4430 |
| Practice Telephone | 7577073510 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
0101246161 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013439215 | Matthew Jeffrey Doherty | Nurse Anesthetist, Certified Registered | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2017-07-10 |
| Street Address |
5424 DISCOVERY PARK BLVD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813765 | Richard A Parisi | Internal Medicine | 5424 Discovery Park Blvd, 204, Williamsburg, VA 23188 | 2005-09-29 |
| 1881166312 | John Davis Ireland | Physician Assistant | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2018-12-21 |
| 1093050692 | Liza M Buckingham | Audiologist | 5424 Discovery Park Blvd, Suite 201, Williamsburg, VA 23188-2904 | 2012-12-07 |
| 1851644165 | Michelle J Clark | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2012-10-24 |
| 1710255013 | Ellen O Winthrop | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2011-12-01 |
| 1376838433 | Amanda Mary Jetty | Physical Therapist | 5424 Discovery Park Blvd, Bldg. B /ste. 101, Williamsburg, VA 23188 | 2011-06-16 |
| 1912227471 | Joseph Reza Habibi | Urology | 5424 Discovery Park Blvd, Suite 203, Williamsburg, VA 23188-2904 | 2010-06-08 |
| 1851530851 | Tidewater Physicians Multispecialty Group | Durable Medical Equipment & Medical Supplies | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2862 | 2009-02-13 |
| 1740451251 | Thomas Durbin | Orthopaedic Surgery | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2904 | 2008-03-13 |
| 1376765032 | Kerry Bate | Specialist | 5424 Discovery Park Blvd, Bldg. B Ste. 101, Williamsburg, VA 23188 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504556 | Sentara Advanced Imaging Solutions, LLC | Radiology | 5911 Kingstowne Village Pkwy Ste 160, Alexandria, VA 22315-4644 | 2020-10-07 |
| 1609433135 | Virginia Cardiovascular Imaging, Corp | Radiology | 8132 Forest Hill Ave, North Chesterfield, VA 23235-3265 | 2019-05-21 |
| 1871091751 | Lakeisha Canty | Radiology | 10135 Stroud Ln, North Chesterfield, VA 23236-2240 | 2018-01-25 |
| 1376976290 | Ultrasound Partners LLC | Radiology | 10214 Woodvale Pond Dr, Fairfax Station, VA 22039-1657 | 2013-08-14 |
| 1568765907 | Advanced Ultrasound Imaging | Radiology | 6811 Indian Run Ct, Annandale, VA 22003-5937 | 2010-12-07 |
| 1457427387 | Southwest Mobile Diagnostic | Radiology | Rr2 Riverbend, Est No 26, Bluefield, VA 24605-0026 | 2006-11-24 |
| 1871529859 | Blue Ridge Echo, LLC | Radiology | 3421 Canter Cir, Roanoke, VA 24018-3801 | 2006-06-23 |
| 1114448891 | Physician's Mobile X-ray, Inc | Radiology | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-07-03 |
| 1346538428 | Iconic Dagnostic Imaging Inc | Radiology | 10721 Main St, #204, Fairfax, VA 22030-6914 | 2011-07-11 |
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.