Maryellen Dougherty (NPI# 1518057900, PAC ID# 1052310968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1518057900 |
| PAC ID by PECOS | 1052310968 |
| Professional Enrollment ID | I20061204000119 |
| Full Name | Maryellen Dougherty |
| Address |
203 E Baltimore Ave Suite 2 Media PA 19063-3433 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 203 E Baltimore Ave, Suite 2, Media, PA 19063-3433 |
| Street Address |
203 E BALTIMORE AVE SUITE 2 |
| City | MEDIA |
| State | PA |
| Zip | 19063-3433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bankes | Nurse Practitioner | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Jay Joseph Constantine | Endocrinology | 100 W 6th St, Suite 5, Media, PA 19063 | |
| Leon G De Masi | Preventative Medicine | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Roger C Sealy | Psychologist, Clinical | 890 Paxon Hollow Rd, Media, PA 19063-1003 | |
| Sonya Ombima | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 100 Halcyon Dr, Media, PA 19063-1041 |
| Valentine B Czubaroff | Psychiatry | 4 Saddlebrook Cir, Media, PA 19063-1053 | |
| Mitchell Jay Cohen | Clinical Psychologist | 11 Martins Run, Media, PA 19063-1057 | |
| Robert W Guerra | Optometry | 1315 N Providence Rd, Media, PA 19063-1205 | |
| Patrick Joseph Mchugh | Psychologist, Clinical | 1223 N Providence Rd, Rose Tree Office Campus Suite 3, Media, PA 19063-1235 | |
| Jerry M Lazaroff | Psychologist, Clinical | 1029 N Providence Rd, Media, PA 19063-1404 | |
| Find all physicians in zip 19063 | |||
| City | MEDIA |
| Zip Code | 19063 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MEDIA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Maryellen Dougherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.