Active NPI
Sarah Dougherty, DPM
- Podiatrist
- Washington, PA
National Provider Identifier
1164837324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC006885
- Practice address
- 1500 W Chestnut St
Washington, PA 15301-5864 - Phone
- (724) 250-7790
- NPI assigned
- Jun 26, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P93418 | NY | |
| Podiatrist | 213E00000X | R93418 | NY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC006885 | PA | |
| Podiatrist | 213E00000X | SC006885 | PA | Primary |
Addresses
Primary practice location
1500 W Chestnut St
Washington, PA 15301-5864
Mailing address
250 Persimmon LN
Canonsburg, PA 15317-4977
Phone (718) 360-6223
Other practice location 1
432 East 23rd Street
VA NY Harbor Healthcare System
New York, NY 10010
Phone (212) 686-7500
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 |
|---|---|---|---|
| R93418 | NY | MD | Podiatrist |
| SC006885 | PA | MD | Podiatrist |
| P93418 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1164837324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PERSIMMON LN",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174977",
"telephone_number": "718-360-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W CHESTNUT ST",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153015864",
"telephone_number": "724-250-7790"
}
],
"practiceLocations": [
{
"address_1": "432 East 23rd Street",
"address_2": "VA NY Harbor Healthcare System",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10010",
"country_code": "US",
"telephone_number": "212-686-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "P93418",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "R93418",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC006885",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC006885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.