Active NPI
James Michael Doherty, CRT, RCP
- Other Technician
- Greenville, DE
National Provider Identifier
1053443085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 1849
- Practice address
- 7 Presidential Dr Apt a
Greenville, DE 19807-3218 - Phone
- (302) 658-3147
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 1849 | MN | Primary |
Addresses
Primary practice location
7 Presidential Dr Apt a
Greenville, DE 19807-3218
Mailing address
7 Presidential Dr Apt a
Greenville, DE 19807-3218
Phone (302) 658-3147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1849 | MN | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053443085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PRESIDENTIAL DR APT A",
"city": "GREENVILLE",
"state": "DE",
"postal_code": "198073218",
"telephone_number": "302-658-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PRESIDENTIAL DR APT A",
"city": "GREENVILLE",
"state": "DE",
"postal_code": "198073218",
"telephone_number": "302-658-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRT, RCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MN",
"license": "1849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.