Mark W Doughty (NPI# 1982095444, PAC ID# 1456667591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1982095444 |
PAC ID by PECOS | 1456667591 |
Professional Enrollment ID | I20150903001014 |
Full Name | Mark W Doughty |
Organization Legal Name | HEART OF EAGLE RIVER MEDICAL CLINIC |
Address |
11432 Business Blvd Suite 4 Eagle River AK 99577-7740 |
Phone Number | 9076941300 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0345240214 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
020001 | PROVIDENCE ALASKA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 | 9076941300 | HEART OF EAGLE RIVER MEDICAL CLINIC |
Organization Legal Name | HEART OF EAGLE RIVER MEDICAL CLINIC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fredrick G May | Physician Assistant | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Frank H Moore | Emergency Medicine | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Shelis R Jorgensen | Nurse Practitioner | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Olga I Wasile | Family Medicine | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Sharon L Hart | Physician Assistant | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Jose Pn Anzilotti | General Practice | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Street Address |
11432 BUSINESS BLVD SUITE 4 |
City | EAGLE RIVER |
State | AK |
Zip | 99577-7740 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fredrick G May | Physician Assistant | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Frank H Moore | Emergency Medicine | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Shelis R Jorgensen | Nurse Practitioner | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Danielle L Schmaltz | Physical Therapy | Health Quest Therapy Inc | 11432 Business Blvd, Suite 18, Eagle River, AK 99577-7740 |
Olga L Beisel | Physical Therapy | Health Quest Therapy Inc | 11432 Business Blvd, Suite 18, Eagle River, AK 99577-7740 |
Olga I Wasile | Family Medicine | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Sharon L Hart | Physician Assistant | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Hannah Krause | Physical Therapy | Health Quest Therapy Inc | 11432 Business Blvd, Suite 18, Eagle River, AK 99577-7740 |
Jose Pn Anzilotti | General Practice | Heart of Eagle River Medical Clinic | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7740 |
Emily Schleif | Occupational Therapy | Health Quest Therapy Inc | 11432 Business Blvd, Suite 18, Eagle River, AK 99577-7740 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
David R Alaniz | Nurse Practitioner | Health Works Family Medical Clinic Inc | 12812 Old Glenn Hwy A7, Eagle River, AK 99577-7003 |
Andrea M Trescot | Anesthesiology | Pain and Headache Center LLC | 12836 Old Glenn Hwy, Eagle River, AK 99577-7041 |
Patricia L Mcdonald | Nurse Practitioner | Anchorage Women's Clinic At Providence LLC | 17101 Snowmobile Ln, Suite 201, Eagle River, AK 99577-7043 |
Gerald E Manning Ii | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
Jeffrey J Copeland | Family Medicine | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
Adrian K Giani | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
Carly Lynn Thomas | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
Jeffrey M Weiss | Dermatology | 17025 Snowmobile Ln, Suite 102, Eagle River, AK 99577-7044 | |
Sarah J Hennemann | Family Medicine | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
Scott W Schafer | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
Find all physicians in zip 99577 |
City | EAGLE RIVER |
Zip Code | 99577 |
Specialty | NURSE PRACTITIONER |
City + Specialty | EAGLE RIVER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark W Doughty.
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.