Individual provider Active NPI

Maureen Ann Doherty, DO

  • Anesthesiology Physician
  • Sunrise, FL
National Provider Identifier
1225014863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS7349 Issued in FL
Practice address
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Phone
(954) 838-2371
NPI assigned
Dec 15, 2005
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 14

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39702243MedicaidCO
977639MedicaidAZ
1477133MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000993 FL Practitioner - Anesthesiology 6507835147 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4318AZMDEndodontist
E-4152ARMDAnesthesiology Physician
39526COMDAnesthesiology Physician
032551GAMDAnesthesiology Physician
036-113901ILMDAnesthesiology Physician
DO. 000004INMDAnesthesiology Physician
DO. 000004LAMDAnesthesiology Physician
H0061407MDMDAnesthesiology Physician
5101016261MIMDAnesthesiology Physician
2004031366MOMDAnesthesiology Physician
33590NCMDAnesthesiology Physician
L8326TXMDAnesthesiology Physician
2153WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince May 7, 2023 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 PastSince May 21, 2023 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.

View all 15

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

Verify at the official NPI Registry.