MARY DOLORES DOHERTY (NPI# 1871801233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871801233 |
| Entity Type | Individual |
| Full Name | MARY DOLORES DOHERTY |
| Credential | PEDIATRIC NURSE PRAC |
| Practice Address |
243 Charles Street Anesthesia Department Boston MA 02114 |
| Mailing Address |
243 Charles Street Massachusetts Eye & Ear Infirmary Boston MA 02114 |
| Practice Telephone | 6175733380 |
| Practice Fax Number | 6175734033 |
| Mailing Telephone | 6175733380 |
| Mailing Fax Number | 6175734033 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN133659 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509203 | Mary Katherine Doherty | Counselor | 54 Plymouth Ave, Swampscott, MA 01907-1143 | 2018-08-27 |
| 1295116796 | Mary Doherty | Counselor | 28922 Lorain Rd Ste 100, North Olmsted, OH 44070-4053 | 2015-06-11 |
| 1700149291 | Mary Doherty | Early Intervention Provider Agency | 68 Fitchburg St, Bay Shore, NY 11706-4638 | 2012-06-19 |
| 1720371842 | Mary Debra Doherty | Developmental Therapist | 4456 N Sawyer Ave, Chicago, IL 60625-4513 | 2011-05-23 |
| 1265708390 | Mary Caitlin Doherty | Counselor | 609 N Shore Dr, Bellingham, WA 98226-4414 | 2012-03-22 |
| 1043507619 | Mary M Doherty | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2011-07-05 |
| 1427367606 | Mary Teresa Doherty | Acupuncturist | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2010-10-05 |
| 1255479564 | Mary K. Doherty | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2007-02-01 |
| 1013070077 | Mary Ellen Doherty | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2006-12-19 |
| 1578540589 | Mary E. Doherty | Nurse Practitioner | 1221 Main St, South Weymouth, MA 02190-1561 | 2005-12-30 |
| Street Address |
243 CHARLES STREET ANESTHESIA DEPARTMENT |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746406 | Roger Keith Russell | Anesthesiology | 243 Charles Street, Meei Dept of Anesthesiology Suite 712, Boston, MA 02114 | 2005-11-08 |
| 1023594132 | Allison Marie Costello | Audiologist | 243 Charles Street, 2nd Floor Audiology, Boston, MA 02114 | 2018-07-12 |
| 1811409824 | Catherine Gaye Banks | Otolaryngology | 243 Charles Street, Department of Otolaryngology - Level 4, Boston, MA 02114 | 2017-10-31 |
| 1629516885 | Rani N. Al Karmi | Student in an Organized Health Care Education/Training Program | 243 Charles Street, Mass Eye & Ear Infirmary, Boston, MA 02114 | 2017-02-08 |
| 1336558212 | Glen Ong | Optometrist | 243 Charles Street, Boston, MA 02114 | 2014-08-05 |
| 1023390192 | Joshua Kruger | Ophthalmology | 243 Charles Street, Massachusetts Eye and Ear Infirmary, Boston, MA 02114 | 2011-09-15 |
| 1790985935 | Zhonghui Luo | Internal Medicine | 243 Charles Street, Boston, MA 02114 | 2007-07-24 |
| 1295930360 | Nita Dushyant Sahani | Anesthesiology | 243 Charles Street, Massachusetts Eye and Ear Infirmary, Boston, MA 02114 | 2007-06-19 |
| 1346456829 | Hideko Heidi Nakajima | Otolaryngology | 243 Charles Street, Massachusetts Eye and Ear Infirmary, Boston, MA 02114 | 2007-05-14 |
| 1285855767 | Sofya Gusman | Pharmacist | 243 Charles Street, Boston, MA 02114 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1629549977 | Michelle Nicole Deonarine | Nurse Practitioner | Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 | 2018-12-16 |
| 1871060905 | Chloe Faye Banks | Nurse Practitioner | 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 | 2018-10-26 |
| 1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
| 1639501331 | Rebecca Marie Stevens | Nurse Practitioner | 300 First Ave, Boston, MA 02129 | 2013-08-05 |
| 1811290380 | Tracy Mahoney | Nurse Practitioner | 300 Longwood Ave Unit 9nw, Boston, MA 02115 | 2010-12-06 |
| 1639407513 | Courtney Loper Risley | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 | 2009-12-03 |
| 1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
| Find all providers in BOSTON | ||||
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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.