JAMES E DOUGHERTY M.D. NPI 1700876125

NPI Information

NPI: 1700876125
Provider Name: JAMES E DOUGHERTY, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
85 SEYMOUR ST
SUITE 719
HARTFORD, CT
ZIP 06106
Phone: (860) 522-0604
Get Directions

James E Dougherty, M.D. is a cardiovascular disease internal medicine in Hartford, CT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. James E Dougherty, M.D. NPI is 1700876125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

85 SEYMOUR ST
SUITE 719
HARTFORD, CT
ZIP 06106-501
Phone: (860) 522-0604
Fax: (860) 522-1761

The NPI 1700876125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 5/20/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology	017309	CONNECTICUT	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	017309	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060000677	OTHER	CONNECTICUT	MCPIN CT HEART PHYSICIANS
2	1173095	MEDICAID	CONNECTICUT
3	060000093	MEDICARE PIN	CONNECTICUT
4	060038840	OTHER	CONNECTICUT	RAILROAD MEDICARE
5	C00585	OTHER	CONNECTICUT	PTAN
6	D99786	MEDICARE UPIN	CONNECTICUT
7	010017309CT01	OTHER	CONNECTICUT	ANTHEM BCBS
8	060000677	MEDICARE PIN	CONNECTICUT
9	1700876125	MEDICARE PIN	CONNECTICUT
10	CA7937	OTHER	CONNECTICUT	RAILROAD MEDICARE GROUP #

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

NPI Synchronization or Removal

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