Organization Active NPI

Maria D Doherty PA

  • Ph.D. Medical Genetics
  • Brooksville, FL
National Provider Identifier
1326399700
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
ME0062700 Issued in FL
Legal business name
MARIA D DOHERTY PA
Practice address
11525 Cortez Blvd
Brooksville, FL 34613-7373
Phone
(352) 596-9990
Fax
(352) 596-9997
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Dr. Maria Digna Doherty, PEDIATRICIAN, MDNPI 1982657193
Title
President
Phone
(352) 596-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X ME0062700 FL Primary

Addresses

Primary practice location

11525 Cortez Blvd
Brooksville, FL 34613-7373

Mailing address

11525 Cortez Blvd
Brooksville, FL 34613-7373
Phone (352) 596-9990

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0893882Maria D Doherty MD11525 Cortez Blvd, Brooksville, FL 34613Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Maria D Doherty and Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

725 Benton Ave
Brooksville, FL 34601
Phone (352) 796-1492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1326399700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137373",
            "telephone_number": "352-596-9990",
            "fax_number": "352-596-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137373",
            "telephone_number": "352-596-9990",
            "fax_number": "352-596-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA D DOHERTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DIGNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PEDIATRICIAN, MD"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "ME0062700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.