DR. AMY DOUGHERTY D.P.M. NPI 1184885881

NPI Information

  • NPI: 1184885881
  • Provider Name: DR. AMY DOUGHERTY, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8001 ROOSEVELT BLVD
    SUITE 203
    PHILADELPHIA, PA
    ZIP 19152
  • Phone: (215) 332-5300

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NPI Details

DR. Amy Dougherty, D.P.M. is a foot and ankle surgery podiatrist in Philadelphia, PA with 17 years of experience. DR. Amy Dougherty, D.P.M. NPI is 1184885881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

8001 ROOSEVELT BLVD
SUITE 203
PHILADELPHIA, PA
ZIP 19152-038
Phone: (215) 332-5300
Fax: (215) 332-5228

The NPI 1184885881 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).

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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Incision of foot bone (HCPCS:28005)

The enumeration date for this NPI number is 6/24/2008 and was last updated on 2/24/2023.

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
1213EP1101XPodiatristPrimary Podiatric Medicine25MD00320000NEW JERSEYNo
2213EP1101XPodiatristPrimary Podiatric MedicineSC006066PENNSYLVANIANo
3213ES0103XPodiatristFoot & Ankle SurgerySC006066PENNSYLVANIANo
4213ES0103XPodiatristFoot & Ankle Surgery25MD00320000NEW JERSEYYes

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
17844107MEDICAIDNEW JERSEY
21030852380001MEDICAIDPENNSYLVANIA

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: 3/30/2025

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