Individual provider Active NPI

Elizabeth Smith Doherty, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1194086850
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD453641 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-7228
Fax
(717) 544-4149
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD453641 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150930000516 PA Practitioner - Family Practice 2961726252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

554 N Duke St FL
2 Penn Medicine Lancaster General Health Ca
Lancaster, PA 17602-2225
Phone (717) 544-7279

5665 Main St
East Petersburg, PA 17520-1513
Phone (717) 560-3782

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Hospital CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Sep 14, 2015 Accepting new patients
Lancaster General Hospital Current Accepting new patients

Locations

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: edohertymd79567@direct-lghealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1194086850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-7228",
            "fax_number": "717-544-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-7228",
            "fax_number": "717-544-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "ELIZABETH",
        "middle_name": "SMITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.