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


NPI Information

NPI: 1184885881
Provider Name: DR. AMY DOUGHERTY, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
8001 ROOSEVELT BLVD
SUITE 203
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 332-5300
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DR. Amy Dougherty, D.P.M. is a foot and ankle surgery podiatrist in Philadelphia, PA with 16 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.

  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.