DR. MARK GERARD DOHERTY MD NPI 1467423871

NPI Information

NPI: 1467423871
Provider Name: DR. MARK GERARD DOHERTY, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

PECOS Registration: Yes

Address:
1625 N GEORGE MASON DR
SUITE 475
ARLINGTON, VA
ZIP 22205
Phone: (703) 717-4000
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DR. Mark Gerard Doherty, MD is a gynecologic oncology obstetrics gynecology in Arlington, VA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. DR. Mark Gerard Doherty, MD NPI is 1467423871. 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:

1625 N GEORGE MASON DR
SUITE 475
ARLINGTON, VA
ZIP 22205-683
Phone: (703) 717-4000
Fax: (703) 717-4009

The NPI 1467423871 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 4/16/2015.

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	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	48014	TENNESSEE	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	48014	TENNESSEE	No
3	207VG0400X	Obstetrics & Gynecology	Gynecology	H4087	TEXAS	No
4	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	H4087	TEXAS	No
5	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	MD 60066893	WASHINGTON	No
6	207VG0400X	Obstetrics & Gynecology	Gynecology	MD60066893	WASHINGTON	No
7	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	0101257128	VIRGINIA	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	980000035	MEDICARE PIN	TEXAS
2	48014	OTHER	TENNESSEE	TENNESSEE LICENSE
3	136867216	MEDICAID	TEXAS
4	136867505	MEDICAID	TEXAS
5	376186YD70	MEDICARE PIN	DISTRICT OF COLUMBIA
6	8A6046	MEDICARE PIN	TEXAS
7	8R1427	OTHER	TEXAS	BCBS
8	H4087	OTHER	TEXAS	MEDICAL LICENSURE
9	1467423871	MEDICAID	VIRGINIA
10	G8879741	MEDICARE PIN	WASHINGTON
11	B22310	MEDICARE UPIN	TEXAS
12	87812K	MEDICARE PIN	TEXAS
13	100000460A	MEDICAID	OKLAHOMA
14	136867209	MEDICAID	TEXAS
15	G8884737	OTHER	WASHINGTON	MEDICARE - SNO CO
16	136867213	MEDICAID	TEXAS
17	88268K	MEDICARE PIN	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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