JAMES CONALL DOHERTY (NPI# 1366589194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366589194 |
Entity Type | Individual |
Full Name | JAMES CONALL DOHERTY |
Credential | M.D. |
Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
Practice Telephone | 7086841442 |
Practice Fax Number | 7086843049 |
Mailing Telephone | 7086841442 |
Mailing Fax Number | 7086843049 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2018-01-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 036093310 | IL | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036093310 | IL | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036093310 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053443085 | James Michael Doherty | Technician, Other | 7 Presidential Dr Apt A, Greenville, DE 19807-3218 | 2007-03-13 |
1336234368 | James J Doherty | Social Worker | 841 Broadway, New York, NY 10003 | 2006-10-04 |
1285641977 | James Patrick Doherty | Psychologist | 2020 Raybrook St, Ste 303, Grand Rapids, MI 49546-7717 | 2006-08-02 |
1427001718 | James Doherty | Optometrist | 2183 N Rt. 83 (milwaukee Ave.), Round Lake, IL 60073 | 2006-05-18 |
1073702585 | James P Doherty | Family Medicine | 405 Se Access Rd, Iowa Park, TX 76367-6985 | 2007-10-21 |
1770678971 | James Doherty | Anesthesiology | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2006-10-04 |
Street Address |
4440 W 95TH ST |
City | OAK LAWN |
State | IL |
Zip Code | 60453-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
Find all providers in zip 60453 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407945207 | Midwest Surgical Group Sc | Surgery | 4400 W 95th St Ste 413, Oak Lawn, FL 60453 | 2006-10-12 |
1174620157 | Rodney Howard Thill | Surgery | 4500 W 95th Street, Suite 413, Oak Lawn, IL 60452 | 2006-09-20 |
1487651550 | Kenneth M Pelehac | Surgery | 5404 Foxwoods Dr, Oak Lawn, IL 60453 | 2005-07-05 |
1972998326 | Christina Lien | Surgery | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2015-04-02 |
1235410796 | David R. Stern | Surgery | 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 | 2011-08-29 |
1407145584 | Devang Jitendra Joshi | Surgery | 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 | 2011-03-29 |
1720396203 | Sarah D Hans | Surgery | 4700 W 95th St Ste 303, Oak Lawn, IL 60453-2572 | 2010-09-19 |
1073741625 | Paul R Balash | Surgery | 4400 W 95th St Ste 413, Oak Lawn, IL 60453-2662 | 2009-06-22 |
1366688632 | Thomas John Cartolano | Surgery | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-12-17 |
1245496694 | Bryce Joseph Chalmar Bardezbanian | Surgery | 4440 W 95th St, Physician's Office Pavilion 207, Oak Lawn, IL 60453-2600 | 2008-08-05 |
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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.