Michael Harold Doherty (NPI# 1043590540, PAC ID# 6709132145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1043590540 |
| PAC ID by PECOS | 6709132145 |
| Professional Enrollment ID | I20190708001891 |
| Full Name | Michael Harold Doherty |
| Organization Legal Name | RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC |
| Address |
1460 Montgomery St Dupont WA 98327-9720 |
| Phone Number | 4174836010 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8729976964 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| 360147 | MARIETTA MEMORIAL HOSPITAL |
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 360011 | MARION GENERAL HOSPITAL |
| 360348 | DUBLIN METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1460 Montgomery St, Dupont, WA 98327-9720 | 4174836010 | RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC |
| Organization Legal Name | RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC |
| Physicians | 122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Covelli | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 189 Buckthorn Way, Menlo Park, CA 94025-3027 |
| Charles Tribue Hounshell | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 2405 Sumac Dr, Manhattan, KS 66502-3138 |
| Nicholas Brent Hardin | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 613 Cresta Alta Dr, El Paso, TX 79912-2523 |
| Steven A Young | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 6156 Seafaring Way, San Diego, CA 92130-5022 |
| Giovanni Lorenz | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 5150 Broadway St, Suite 184, San Antonio, TX 78209-5710 |
| Nathan Paul Hannemann | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 4952 Hagood Ave, El Paso, TX 79906-4039 |
| Thomas J Lombardi | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 7487 Paseo Cristal, Carlsbad, CA 92009-8723 |
| Grant S Holz | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 1818 L St, Unit 716, Sacramento, CA 95811-4304 |
| Keerthi N Arani | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 5250 Liberty Ave, Apt 350, Pittsburgh, PA 15224-2378 |
| Brian Zipser | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 2622 2nd St, Apt 1, Santa Monica, CA 90405-4177 |
| Street Address |
1460 MONTGOMERY ST |
| City | DUPONT |
| State | WA |
| Zip | 98327-9720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler A Dailey | Diagnostic Radiology | Riverside Radiology and Interventional Associates Inc | 1460 Montgomery St, Dupont, WA 98327-9720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori C Van Dusen | Physical Therapy | 1525 Wilmington Dr, Dupont, WA 98327-7722 | |
| Ruth Bailey | Physical Therapy | Dupont Physical Therapy Inc Ps | 1525 Wilmington Dr, Dupont, WA 98327-7722 |
| David M Lefevre | Optometry | 1570 Wilmington Dr, Suite 160, Dupont, WA 98327-8773 | |
| Steven J Wilson | Chiropractic | 1570 Wilmington Dr, Suite 120, Dupont, WA 98327-8773 |
| City | DUPONT |
| Zip Code | 98327 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DUPONT + DIAGNOSTIC RADIOLOGY |
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| 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.