DR. MIRIAM THERESA DOUGHERTY (NPI# 1407073653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407073653 |
| Entity Type | Individual |
| Full Name | DR. MIRIAM THERESA DOUGHERTY |
| Credential | M.D. |
| Practice Address |
2000 Washington St Ste 206 Newton MA 02462-1602 |
| Practice Telephone | 6173326311 |
| Practice Fax Number | 6172435650 |
| Mailing Telephone | 6173326311 |
| Mailing Fax Number | 6172435650 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MA46091 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | MA46091 | 01 |
| MA | 6173624 | 05 |
| Street Address |
2000 WASHINGTON ST STE 206 |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649388968 | Nissim Joseph | Ophthalmology | 73 Countryside Rd, Newton, MA 02459-2917 | 2006-08-27 |
| 1972975456 | Axtell Eye Center LLC | Ophthalmology | 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 | 2015-10-23 |
| 1235376922 | Jill N Carmody | Ophthalmology | 2000 Washington St, Suite 462, Newton, MA 02462-1650 | 2009-01-16 |
| 1295999142 | Amit Vora | Ophthalmology | 183 High St, Suite 2200, Newton, NJ 07860-9601 | 2008-07-10 |
| 1417141490 | Eye Care and Laser Surgery of Newton-wellesley | Ophthalmology | 2000 Washington St, White 548, Newton, MA 02462-1650 | 2007-08-31 |
| 1962598011 | Jill A Smith | Ophthalmology | 2000 Washington St, Suite 462, Newton, MA 02462-1650 | 2006-10-05 |
| 1275629230 | Ralph H Hinckley | Ophthalmology | 2000 Washington St, White 548, Newton, MA 02462-1650 | 2006-10-05 |
| 1245337419 | Jay H Kaufman | Ophthalmology | 2000 Washington St, Suite 462, Newton, MA 02462-1650 | 2006-09-20 |
| 1073623385 | Ronald Andrew Serniuk | Ophthalmology | 55 Newton Sparta Rd, Suite 104, Newton, NJ 07860 | 2006-08-30 |
| 1801901780 | Kevin P Allen | Ophthalmology | 700 Medical Center Dr, Suite 110, Newton, KS 67114-9013 | 2006-08-20 |
| Find all providers in NEWTON | ||||
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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.