Active NPI
Maureen Ann Doherty, DO
- Anesthesiology Physician
- Sunrise, FL
National Provider Identifier
1225014863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS7349
- Practice address
- 1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853 - Phone
- (954) 838-2371
- NPI assigned
- Dec 15, 2005
- Last updated
- Jul 8, 2007
- 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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4318 | AZ | |
| Anesthesiology Physician | 207L00000X | OS7349 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 39526 | CO | |
| Anesthesiology Physician | 207L00000X | H0061407 | MD | |
| Anesthesiology Physician | 207L00000X | 2004031366 | MO | |
| Anesthesiology Physician | 207L00000X | L8326 | TX | |
| Anesthesiology Physician | 207L00000X | 5101016261 | MI | |
| Anesthesiology Physician | 207L00000X | E-4152 | AR | |
| Anesthesiology Physician | 207L00000X | 33590 | NC | |
| Anesthesiology Physician | 207L00000X | 032551 | GA | |
| Anesthesiology Physician | 207L00000X | DO. 000004 | LA | |
| Anesthesiology Physician | 207L00000X | DO. 000004 | IN | |
| Anesthesiology Physician | 207L00000X | 2153 | WV | |
| Anesthesiology Physician | 207L00000X | IL |
Addresses
Primary practice location
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Mailing address
PO Box 817737
Hollywood, FL 33081-1737
Phone (954) 838-2371
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39702243 | Medicaid | CO | |
| 977639 | Medicaid | AZ | |
| 1477133 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4318 | AZ | MD | Endodontist |
| E-4152 | AR | MD | Anesthesiology Physician |
| 39526 | CO | MD | Anesthesiology Physician |
| 032551 | GA | MD | Anesthesiology Physician |
| 036-113901 | IL | MD | Anesthesiology Physician |
| DO. 000004 | IN | MD | Anesthesiology Physician |
| DO. 000004 | LA | MD | Anesthesiology Physician |
| H0061407 | MD | MD | Anesthesiology Physician |
| 5101016261 | MI | MD | Anesthesiology Physician |
| 2004031366 | MO | MD | Anesthesiology Physician |
| 33590 | NC | MD | Anesthesiology Physician |
| L8326 | TX | MD | Anesthesiology Physician |
| 2153 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Drozdow Healthcare of Nevada PC | Anesthesiology | Past | Accepting new patients |
| Sheridan Anesthesia Services of New Jersey PC | Anesthesiology | Past | Accepting new patients |
| Jacksonville Beaches Anesthesia Associates, Inc. | Anesthesiology | Past | Accepting new patients |
| Sheridan Anesthesia Services of Alabama, Inc. | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Washington, PC | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of West Florida Inc | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Colorado PC | Anesthesiology | Past | Accepting new patients |
| Northwest Florida Anesthesia Consultants Inc | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Arizona Inc | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Arkansas PA | Anesthesiology | Past | Accepting new patients |
| TMC Medical Network | Past | Accepting new patients | |
| Sheridan Healthcare of Indiana PC | Anesthesiology | Past | Accepting new patients |
| Sheridan Anesthesia Services of Minnesota, PC | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of West Virginia Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 15
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.
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dba North Florida Anesthesia Consultants
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- NPI 1013162163
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dba Sheridan Healthcare of Nevada PC
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- Las Vegas, NV
- NPI 1003019266
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- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1598740383
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- El Dorado, AR
- NPI 1699758169
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- Certified Registered Nurse Anesthetist
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- Certified Registered Nurse Anesthetist
- Logansport, IN
- NPI 1770566234
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225014863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817737",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330811737",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "#200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-838-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "MAUREEN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "4318",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS7349",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "39526",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "H0061407",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2004031366",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L8326",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101016261",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-4152",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "33590",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "032551",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "DO. 000004",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "DO. 000004",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "2153",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39702243",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "977639",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477133",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.