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DOUGHTY PODIATRY P.A. NPI 1043383045


NPI Information

NPI: 1043383045
Provider Name: DOUGHTY PODIATRY, P.A.

Other Name: MICHAEL A. DOUGHTY, D.P.M.

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
404 EASTERN BLVD OFC 1
BALTIMORE, MD
ZIP 21221
Phone: (410) 687-4800
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DOUGHTY PODIATRY, P.A. is a podiatrist in Baltimore, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DOUGHTY PODIATRY, P.A. NPI is 1043383045. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Michael A. Doughty, D.p.m..

The provider's business location address is:

404 EASTERN BLVD OFC 1
BALTIMORE, MD
ZIP 21221-714
Phone: (410) 687-4800
Fax: (410) 687-3460

The provider's authorized official is Michael Anthony Doughty .
The authorized official title is President and has the following contact phone number (410) 687-4800.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery01316MARYLANDNo
2213E00000XPodiatrist00244MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U83748MEDICARE UPINMARYLAND
2T59455MEDICARE UPINMARYLAND
36146730001MEDICARE NSCMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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