Individual provider Active NPI

Regina Marie Dougherty, DO

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
National Provider Identifier
1275517849
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
05010438L Issued in PA
Practice address
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone
(215) 947-3000
Fax
(215) 938-3929
NPI assigned
Dec 6, 2005
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 05010438L PA Primary

Addresses

Primary practice location

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001

Mailing address

1648 Huntingdon Pike
Medical Staff Office 1St FLR
Meadowbrook, PA 19046-8001
Phone (215) 938-3450

Other identifiers 1

IdentifierTypeStateIssuer
001967175003MedicaidPA

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
I20040514000057 PA Practitioner - Obstetrics/Gynecology 1557351376 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05010438LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Pennsylvania PC Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Aug 1, 2024 Accepting new patients
HR Physician Services CurrentSince Jul 27, 2015 Accepting new patients
St. Luke's Physician Group Inc. Obstetrics & Gynecology CurrentSince Mar 10, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 10, 2020 Accepting new patients
HR Physician Services Obstetrics & Gynecology CurrentSince Jul 27, 2015 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Temple Physician Inc. Past Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

1650 Huntingdon Pike
Ste 255
Meadowbrook, PA 19046
Phone (215) 938-2055

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

670 Lawn Ave
Ste 4
Sellersville, PA 18960
Phone (215) 257-0414

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

735 Fitzwatertown Rd
Ste 4
Willow Grove, PA 19090
Phone (215) 914-4400

Interoperability endpoints

  • Direct secure messaging: rdougherty131941@direct.nemours.org
  • Direct secure messaging: rdougherty3592688@direct.trinity-health.org
  • Direct secure messaging: regina.dougherty.1@17399.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1275517849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE 1ST FLR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-947-3000",
            "fax_number": "215-938-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "05010438L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001967175003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.