MATTHEW DAVID DOUGHMAN (NPI# 1801190665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801190665 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID DOUGHMAN |
| Credential | PA-C |
| Practice Address |
1711 27th St Ste 102 Portsmouth OH 45662-2657 |
| Mailing Address |
1735 27th St Ste B06 Portsmouth OH 45662-2681 |
| Practice Telephone | 7403561709 |
| Practice Fax Number | 7403533027 |
| Mailing Telephone | 7403566942 |
| Mailing Fax Number | 7403567851 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.003770RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1706 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY MEDICAL BOARD | PA1706 | 01 |
| NCCPA | 1103317 | 01 | |
| KY | KENTUCKY MEDICAL BOARD | TC091 | 01 |
| OH | 0086440 | 05 | |
| KY | 7100219770 | 05 |
| Street Address |
1711 27TH ST STE 102 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920590 | Christopher G. Belton | Orthopaedic Surgery | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2006-06-13 |
| 1528416427 | Caleb Ross Davis | Podiatrist | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2016-06-01 |
| 1255734794 | Zachary A Harr | Physician Assistant | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2014-09-29 |
| 1932418589 | Evan D Yates | Physician Assistant | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2010-09-30 |
| 1114238805 | Jared Carson Bentley | Orthopaedic Surgery | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2010-06-28 |
| 1548338353 | Lisa D Lemley Gibson | Physician Assistant | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2006-12-01 |
| 1750398186 | John William Dobson | Orthopaedic Surgery | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2006-08-01 |
| 1104846906 | Duane J Marchyn | Orthopaedic Surgery | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
| 1164517504 | Kathleen Ann Ballentine | Physician Assistant | 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801 | 2006-10-03 |
| 1467462945 | Angela Jean Cerezo | Physician Assistant | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 | 2006-08-08 |
| 1184609125 | Renald Rouillard | Physician Assistant | 1 Ayers Cir, Bldg H-1, Portsmouth, NH 03801-3892 | 2005-12-13 |
| 1588650501 | Mara S Smith | Physician Assistant | 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 | 2005-09-26 |
| 1184180663 | Emily Farrell | Physician Assistant | 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 | 2019-02-20 |
| 1356741151 | Rachel Whitman | Physician Assistant | 330 Borthwick Ave Ste 311, Portsmouth, NH 03801-7112 | 2014-08-28 |
| 1376970350 | Anne Macadam | Physician Assistant | 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 | 2013-10-04 |
| 1821349200 | Kirsten Nicole Allred | Physician Assistant | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-09-26 |
| 1992095608 | Elizabeth Mclaughlin Snyder | Physician Assistant | 3636 High St, Portsmouth, VA 23707-3236 | 2011-04-14 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on MATTHEW DAVID DOUGHMAN.
| 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.