DR. MARK GERARD DOHERTY (NPI# 1467423871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467423871 |
| Entity Type | Individual |
| Full Name | DR. MARK GERARD DOHERTY |
| Credential | MD |
| Practice Address |
1625 N George Mason Dr Suite 475 Arlington VA 22205-3683 |
| Practice Telephone | 7037174000 |
| Practice Fax Number | 7037174009 |
| Mailing Telephone | 7037174000 |
| Mailing Fax Number | 7037174009 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
H4087 | TX | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
48014 | TN | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD60066893 | WA | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD 60066893 | WA | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
0101257128 | VA | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
48014 | TN | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
H4087 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100000460A | 05 | |
| TX | 136867213 | 05 | |
| TX | MEDICAL LICENSURE | H4087 | 01 |
| TN | TENNESSEE LICENSE | 48014 | 01 |
| WA | MEDICARE - SNO CO | G8884737 | 01 |
| TX | 136867216 | 05 | |
| TX | BCBS | 8R1427 | 01 |
| TX | 136867209 | 05 | |
| TX | 136867505 | 05 | |
| VA | 1467423871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669823043 | Mark Doherty | Behavioral Analyst | 7 Bishop St, Framingham, MA 01702-8323 | 2016-06-27 |
| 1194818872 | Mark E Doherty | Dentist | 1155 Purchase St., New Bedford, MA 02740 | 2006-10-02 |
| 1952400079 | Mark Robert Doherty | Dentist | 26 Surfside Rd, Pryor, OK 74361-3306 | 2006-09-22 |
| 1801892260 | Mark J. Doherty | Dermatology | 1151 Ellis St Ste 202, Bellingham, WA 98225-5203 | 2005-06-21 |
| 1144862822 | Mark Doherty | Massage Therapist | 623 Broadway, Massapequa, NY 11758-5027 | 2019-10-14 |
| 1497038145 | Mark Thomas Doherty | Pharmacist | 120 E Main St, Streator, IL 61364-2901 | 2011-09-20 |
| 1285696674 | Mark Doherty | Oral & Maxillofacial Surgery | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-04-03 |
| Street Address |
1625 N GEORGE MASON DR SUITE 475 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713422 | James Alan Ramenofsky | Internal Medicine | 1625 N George Mason Dr, Suite 425, Arlington, VA 22205-3683 | 2005-07-11 |
| 1548734593 | Sabena K Passarello | Nurse Practitioner | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2019-01-13 |
| 1205384534 | Virginia Hospital Center Physician Group LLC | Hospitalist | 1625 N George Mason Dr, Suite 425, Arlington, VA 22205-3683 | 2016-09-15 |
| 1750733572 | Cristine Chin | Physician Assistant | 1625 N George Mason Dr, Suite 354, Arlington, VA 22205-3683 | 2016-07-05 |
| 1184097560 | Chao-hui Sung | Social Worker | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2015-11-05 |
| 1265803910 | Daniel Haldeman | Nurse Practitioner | 1625 N George Mason Dr, Suite 288, Arlington, VA 22205-3683 | 2015-10-07 |
| 1396123147 | Aida Girma | Family Medicine | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2015-05-13 |
| 1043617889 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr, Suite 354, Arlington, VA 22205-3683 | 2014-11-21 |
| 1306240833 | Lauren Abate | Nurse Practitioner | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2014-10-13 |
| 1407258163 | Rachel Wilson | Nurse Practitioner | 1625 N George Mason Dr, Suite 288, Arlington, VA 22205-3683 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780086884 | Virginia Hospital Center Physician Group LLC | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434420 | Central Virginia Gynecologic Oncology PC | Obstetrics & Gynecology | 9101 Stony Point Dr # 3300, Richmond, VA 23235-1979 | 2019-08-27 |
| 1265951818 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St Ste 305, Richmond, VA 23223-5311 | 2017-09-14 |
| 1225460900 | Sherilynn Hummel | Obstetrics & Gynecology | 372 Coles Road, Burgess, VA 22432-0639 | 2013-08-05 |
| 1184811614 | Christopher Kevin Mccann | Obstetrics & Gynecology | 12720 Mcmanus Blvd Ste 308, Newport News, VA 23602-4414 | 2007-09-28 |
| 1861592339 | Randal John West | Obstetrics & Gynecology | 9101 Stony Point Dr Ste 3300, Richmond, VA 23235-1979 | 2006-09-25 |
| 1811948383 | Janet L Osborne | Obstetrics & Gynecology | 1 Riverside Cir Ste 300m, Roanoke, VA 24016-4962 | 2006-05-12 |
| 1699733808 | Chad Andrew Hamilton | Obstetrics & Gynecology | 3289 Woodburn Rd Ste 320, Annandale, VA 22003 | 2006-05-04 |
| 1730156373 | John C Elkas | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 | 2006-03-02 |
| 1902348139 | Loudoun Medical Group . P.c | Obstetrics & Gynecology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-04 |
| 1932654886 | Bon Secours - Richmond Community Hospital, Incorporated | Obstetrics & Gynecology | 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 | 2016-08-22 |
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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.