Active NPI
John D Dougherty III, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Oro Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 41024
- Practice address
- 555 E. Vuelta Caminata del Rio
Oro Valley, AZ 85737 - Phone
- (520) 547-5688
- Fax
- (520) 547-4661
- NPI assigned
- Jun 13, 2006
- Last updated
- Jun 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 41024 | AZ | Primary |
Addresses
Primary practice location
555 E. Vuelta Caminata del Rio
Oro Valley, AZ 85737
Mailing address
555 E. Vuelta Caminata del Rio
Oro Valley, AZ 85737
Phone (520) 547-5688
Other practice location 1
760 E Pusch View Ln
Suite 100
Oro Valley, AZ 85737-9235
Phone (520) 547-5688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z139672 | Other | AZ | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 E Vuelta Caminata del Rio
Oro Valley, AZ 85737-3480
Phone (520) 547-5688
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oro Valley Adult Medicine PA LLC | Geriatric Medicine | Current | Accepting new patients |
| Diamond Nutrition Counseling, Inc | Past | Accepting new patients | |
| Professional Providers Inc | Internal Medicine | Past | Accepting new patients |
Locations
555 E Vuelta Caminata del Rio
Tucson, AZ 85737
Phone (520) 547-5688
760 E Pusch View Ln
Ste 100
Tucson, AZ 85737
Phone (520) 229-2010
Interoperability endpoints
- johnd@orovam.curemd.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Oro Valley, AZ
- NPI 1679012181
-
dba Pentec Nutrition Counseling
- Registered Dietitian
- Upper Chichester, PA
- NPI 1437794310
-
dba Whiteland Medical Associates for Progressive Health
- Internal Medicine Physician
- Exton, PA
- NPI 1821039132
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1043581846
-
dba Northwest Medical Center
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
dba Oro Valley Hospital
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1043252844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E. VUELTA CAMINATA DEL RIO",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "85737",
"telephone_number": "520-547-5688",
"fax_number": "520-547-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E. VUELTA CAMINATA DEL RIO",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "85737",
"telephone_number": "520-547-5688",
"fax_number": "520-547-4661"
}
],
"practiceLocations": [
{
"address_1": "760 E Pusch View Ln",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Oro Valley",
"state": "AZ",
"postal_code": "857379235",
"country_code": "US",
"telephone_number": "520-547-5688",
"fax_number": "520-547-4661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "JOHN",
"middle_name": "D",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "AZ",
"license": "41024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z139672",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.