DR. CAROLYN MAUD DOHERTY M.D. NPI 1427163609

NPI Information

  • NPI: 1427163609
  • Provider Name: DR. CAROLYN MAUD DOHERTY, M.D.
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 717 N 190TH PLZ
    SUITE # 2500
    ELKHORN, NE
    ZIP 68022
  • Phone: (402) 815-1915

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NPI Details

DR. Carolyn Maud Doherty, M.D. is a reproductive endocrinology obstetrics gynecology in Elkhorn, NE with 40 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Carolyn Maud Doherty, M.D. NPI is 1427163609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:1986

The provider's business location address is:

717 N 190TH PLZ
SUITE # 2500
ELKHORN, NE
ZIP 68022-913
Phone: (402) 815-1915
Fax: (402) 815-1065

The NPI 1427163609 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 8/20/2006 and was last updated on 12/17/2013.

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
1207VE0102XObstetrics & GynecologyReproductive Endocrinology18934NEBRASKAYes

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
110024995600MEDICAIDNEBRASKA
290871MEDICAIDIOWA
3266362MEDICARE PINNEBRASKA
4E18773MEDICARE UPIN
51427163609MEDICAIDIOWA

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: 11/21/2025

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