Active NPI
Anne M Dougherty, AU.D.
- Audiologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006091
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00073200 | NJ | MD | Audiologist |
| O2-0000192 | DE | MD | Audiologist-Hearing Aid Fitter |
| B0939 | NJ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berger Henry ENT Specialty Group | Current | Accepting new patients | |
| Center City Hearing | Audiologist | Current | Accepting new patients |
| Hearing Technology Associates, LLC | Audiologist-Hearing Aid Fitter | Past | 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.
-
- Audiologist
- Philadelphia, PA
- NPI 1972060952
-
- Otolaryngology Physician
- Norristown, PA
- NPI 1437220050
-
- Audiologist-Hearing Aid Fitter
- Bala Cynwyd, PA
- NPI 1669533691
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.