KENNETH P DOUGHTY (NPI# 1679839195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679839195 |
| Entity Type | Individual |
| Full Name | KENNETH P DOUGHTY |
| Credential | CSA |
| Practice Address |
9715 Medical Center Dr Suite 528 Rockville MD 20850-3320 |
| Practice Telephone | 3014241960 |
| Practice Fax Number | 3014241961 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3148 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9715 MEDICAL CENTER DR SUITE 528 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386728 | Aesthetic Facial Surgery Center of Rockville | Clinic/Center | 9715 Medical Center Dr, Ste 414, Rockville, MD 20850-6310 | 2005-06-16 |
| 1194270363 | The Cataract Vision Institute LLC | Clinic/Center | 9715 Medical Center Dr, Suite 502b, Rockville, MD 20850-3320 | 2016-08-17 |
| 1760840508 | Alec M Anders Md Pa | Family Medicine | 9715 Medical Center Dr, 321, Rockville, MD 20850-3320 | 2016-02-08 |
| 1942608922 | Wellbeing Care Pharmacy | Pharmacy | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2014-12-08 |
| 1023424363 | Gwmfa-medical Faculty Associates, Inc | Clinic/Center | 9715 Medical Center Dr, Suite 230, Rockville, MD 20850-3320 | 2014-07-08 |
| 1710326061 | Fooroogh Ostovari | Family Medicine | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2013-06-20 |
| 1285978106 | Jennifer Sue Small | Nurse Practitioner | 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 | 2012-11-15 |
| 1952668329 | The Lasik Vision Institute, LLC | Clinic/Center | 9715 Medical Center Dr, Suite 502, Rockville, MD 20850-3320 | 2012-04-23 |
| 1144594169 | Roderick Catbagan | Physician Assistant | 9715 Medical Center Dr, 528, Rockville, MD 20850-3320 | 2012-03-08 |
| 1073811857 | Lance G. Leithauser, M D P A | Plastic Surgery | 9715 Medical Center Dr, Suite 535, Rockville, MD 20850-3320 | 2011-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285995837 | Amelia Surgical Assistants LLC | Physician Assistant | 9715 Medical Center Dr Ste 528, Rockville, MD 20850-3352 | 2012-05-30 |
| 1326333295 | Luis Mario Murcia Lemus | Physician Assistant | 706 Gormley Dr, Rockville, MD 20850-3007 | 2011-06-17 |
| 1205155231 | Nianbin Hu | Physician Assistant | 1 Research Ct Ste 450, Rockville, MD 20850-6252 | 2010-06-01 |
| 1205988961 | Dale E Shomette | Physician Assistant | 46 West Gude Drive, Suite 101, Rockville, MD 20850 | 2007-01-16 |
| 1245706621 | Alexandra Marie Espina | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2018-10-23 |
| 1558857920 | Kegan Davis Rogers | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2018-07-09 |
| 1356839849 | Margaret Shea | Physician Assistant | 9420 Key West Avenue, Suite 300, Rockville, MD 20850-6212 | 2018-04-30 |
| 1881134229 | Ryan Tyler Shapiro | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2017-03-05 |
| 1841600210 | Susan E Dench Milford | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2014-05-06 |
| 1073853594 | Rachel Philpott Hamilton | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2013-02-20 |
| Find all providers in ROCKVILLE | ||||
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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.