Individual provider Active NPI

Philip J Doherty, M.D.

  • Hospitalist Physician
  • Pittsboro, NC
National Provider Identifier
1144267345
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
32206 Issued in SC
Practice address
94 Goose Creek CT.
Pittsboro, NC 27312
Phone
(843) 271-1408
NPI assigned
May 31, 2006
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80398 MA
Hospitalist Physician 208M00000X 32206 SC Primary

Addresses

Primary practice location

94 Goose Creek CT.
Pittsboro, NC 27312

Mailing address

94 Goose Creek CT
Pittsboro, NC 27312-9862
Phone (843) 271-1408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050525000410 MA Practitioner - Internal Medicine 1052373362 Reassigns benefits to 2 organizations
I20161018000700 NC Practitioner - Internal Medicine 1052373362 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32206SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Mar 18, 2017 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Aug 14, 2017 Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine Past Accepting new patients
Novus Healthcare Group, LLC PastSince Jan 1, 2017 Accepting new patients
Valley Medical Associates, PC Internal Medicine PastSince Jul 15, 1996 Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Organizations & group practices 8

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1144267345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GOOSE CREEK CT",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129862",
            "telephone_number": "843-271-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GOOSE CREEK CT.",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "843-271-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80398",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "32206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.