Individual provider Active NPI

Courtney Doty, PA

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1205803772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004168 Issued in MI
Practice address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone
(248) 898-5000
NPI assigned
Mar 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004168 MI Primary

Addresses

Primary practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

3601 W 13 Mile Rd
400-FSC/PCS
Royal Oak, MI 48073-6712

Other names 1

  • Courtney Gill Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004168MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hosptial PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospitals PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beauont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
Willliam Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients
William Beaumont Hospital PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205803772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "address_2": "400-FSC/PCS",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GILL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.