Individual provider Active NPI

Anne M Dougherty, AU.D.

  • Audiologist
  • Philadelphia, PA
National Provider Identifier
1053507830
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006091 Issued in PA
Practice address
1015 Chestnut St Ste 300
Philadelphia, PA 19107-4303
Phone
(215) 413-0800
Fax
(215) 413-0808
NPI assigned
Sep 14, 2007
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00073200 NJ
Audiologist 231H00000X AT006091 PA Primary
Audiologist-Hearing Aid Fitter 237600000X O2-0000192 DE
Audiologist-Hearing Aid Fitter 237600000X B0939 NJ

Addresses

Primary practice location

1015 Chestnut St Ste 300
Philadelphia, PA 19107-4303

Mailing address

1015 Chestnut St Ste 300
Philadelphia, PA 19107-4303
Phone (215) 413-0800

Other names 1

  • Dr. Anne M Arrazcaeta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025001062 PA Practitioner - Qualified Audiologist 8224316344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 Chestnut St
Suite 300
Philadelphia, PA 19107-4303
Phone (215) 413-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00073200NJMDAudiologist
O2-0000192DEMDAudiologist-Hearing Aid Fitter
B0939NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Berger Henry ENT Specialty Group CurrentSince Aug 1, 2016 Accepting new patients
Center City Hearing Audiologist CurrentSince Mar 10, 2019 Accepting new patients
Hearing Technology Associates, LLC Audiologist-Hearing Aid Fitter PastSince Mar 10, 2019 Accepting new patients

Locations

1015 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 413-0800

525 Jamestown St
Ste 104
Philadelphia, PA 19128
Phone (215) 233-4553

8815 Germantown Ave
Ste 32
Philadelphia, PA 19118
Phone (215) 233-4553

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1053507830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074303",
            "telephone_number": "215-413-0800",
            "fax_number": "215-413-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074303",
            "telephone_number": "215-413-0800",
            "fax_number": "215-413-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00073200",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006091",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "DE",
            "license": "O2-0000192",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "B0939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "ARRAZCAETA",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.