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DR. PHILIP JOHN DOUGHERTY MD NPI 1750647913


NPI Information

NPI: 1750647913
Provider Name: DR. PHILIP JOHN DOUGHERTY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
700 W IRONWOOD DR STE 175
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 625-6300
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DR. Philip John Dougherty, MD is a diagnostic radiology radiology in Coeur D Alene, ID with 12 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Philip John Dougherty, MD NPI is 1750647913. 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:

700 W IRONWOOD DR STE 175
COEUR D ALENE, ID
ZIP 83814-401
Phone: (208) 625-6300
Fax: (208) 625-6301

The NPI 1750647913 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ct scan of face (HCPCS:70486)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/26/2024.


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
12085R0202XRadiologyDiagnostic RadiologyM-14068IDAHOYes

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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