MICHELLE L DOUGHERTY


Address: 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519
Phone: 2157626915

MICHELLE L DOUGHERTY (NPI# 1396935433) 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) 1396935433
Entity Type Individual
Full Name MICHELLE L DOUGHERTY
Credential M.D.
Practice Address 219 N Broad St
7th Floor
Philadelphia
PA 19107-1519
Mailing Address 1601 Cherry St
Suite 11511
Philadelphia
PA 19102-1320
Practice Telephone 2157626915
Practice Fax Number 2157626914
Mailing Telephone 2152557822
Mailing Fax Number 2152557825
Enumeration Date 2007-07-25
Last Update Date 2016-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD438250 PA Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
232697 MA Allopathic & Osteopathic Physicians

Other Providers MICHELLE DOUGHERTY

NPI Name Taxonomy Address Enumeration
1528303666 Michelle Dougherty Speech-Language Pathologist 525 Route 73 North, Suite 104, Marlton, NJ 08053-3422 2012-11-30
1760543037 Michelle Senatore Dougherty Chiropractor 11258 Il-59 #2, Naperville, IL 60564-8090 2006-12-12
1730531542 Michelle L Dougherty Occupational Therapist 2840 Nw 2nd Ave Ste 104, Boca Raton, FL 33431-6692 2016-07-05
1295161651 Michelle Dougherty Dietitian, Registered 20 Elm St, Morristown, NJ 07960-8804 2013-09-17
1609112556 Michelle Dougherty Pharmacist 342 Massachusetts Ave, Suite 103, Indianapolis, IN 46204-2146 2012-12-21

Office Location

Street Address 219 N BROAD ST
7TH FLOOR
City PHILADELPHIA
State PA
Zip Code 19107-1519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457356917 Jeffrey Brian Hoag Internal Medicine 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 2005-06-20
1346872116 Tower Drexel Academic Medical Group LLC Family Medicine 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 2020-02-10
1629638374 Osama Mufti Ophthalmology 219 N Broad St, Philadelphia, PA 19107-1519 2019-06-15
1538510730 Emily Gnatt Audiologist 219 N Broad St, 10th Floor, Philadelphia, PA 19107-1519 2016-06-29
1295100493 Jessica Cerasoli Physician Assistant 219 N Broad St, Philadelphia, PA 19107-1519 2015-12-14
1992129522 Zachari Breeding Dietitian, Registered 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 2014-02-18
1588915649 Danielle Elizabeth Brown Physician Assistant 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519 2012-09-28
1487918611 Andrew Ow Family Medicine 219 N Broad St, 1st Floor, Philadelphia, PA 19107-1519 2012-07-03
1396006508 Jing Xing Zhang Dermatology 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 2012-06-04
1114286614 Kelly Anne Williamson Ophthalmology 219 N Broad St, 3rd Floor, Philadelphia, PA 19107-1519 2012-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972060176 Ncv Diagnostics LLC Psychiatry & Neurology 1 Brown St Ste C, Philadelphia, PA 19123-3361 2019-02-23
1982102133 Sonia Anand-nichols Md PC Psychiatry & Neurology 5735 Ridge Ave Ste 101, Philadelphia, PA 19128-1746 2018-01-23
1205357886 Kenneth Gross Psychiatry & Neurology 777 S Broad St Apt 412, Philadelphia, PA 19147-2509 2017-07-04
1417339409 Leonel Jorge Favio Estofan Psychiatry & Neurology 245 N 15th St, 7th Floor, Philadelphia, PA 19102-1200 2015-06-25
1073900700 Pavan Anil Vaswani Psychiatry & Neurology 330 S 9th St Fl 3, Philadelphia, PA 19107-6103 2015-04-21
1942613369 Mia Chwan Ko Psychiatry & Neurology 5401 Old York Rd Ste 404, Philadelphia, PA 19141-3046 2014-06-03
1912340415 Simy Kabaria Parikh Psychiatry & Neurology 900 Walnut St Ste 200, Philadelphia, PA 19107-5191 2013-04-15
1215295118 Curtis Brandon Allumbaugh Psychiatry & Neurology 833 Chestnut St Ste 220, Philadelphia, PA 19107 2012-04-27
1013201870 Enrique Aradillas Lopez Psychiatry & Neurology 1200 Constitution Ave Ste 110, Philadelphia, PA 19112-1323 2011-06-08
1598076358 Hristelina S. Ilieva Psychiatry & Neurology 909 Walnut Street 2nd Floor, Philadelphia, PA 19107-3342 2010-06-27
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Competitor

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City PHILADELPHIA
Zip Code 19107

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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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