Individual provider Active NPI

Barbara J Doty, MD

  • Family Medicine Physician
  • Wasilla, AK
National Provider Identifier
1427065648
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2100 Issued in AK
Practice address
950 E Bogard Rd Ste 233
Wasilla, AK 99654-7185
Phone
(907) 352-1300
Fax
(907) 352-1310
NPI assigned
Aug 1, 2006
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2100 AK Primary

Addresses

Primary practice location

950 E Bogard Rd Ste 233
Wasilla, AK 99654-7185

Mailing address

950 E Bogard Rd Ste 233
Wasilla, AK 99654-7185
Phone (907) 352-1300

Other practice location 1

2250 South Woodworth Loop
Suite 101
Palmer, AK 99645-7457
Phone (907) 761-5996

Other identifiers 1

IdentifierTypeStateIssuer
MD2100MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barbara.doty.1@2839.direct.athenahealth.com

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2100AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington Family Medicine Current Accepting new patients

Locations

2250 S Woodworth Loop
Ste 101
Palmer, AK 99645
Phone (907) 745-7546

Interoperability endpoints

  • Direct secure messaging: barbara.doty.1@2839.direct.athenahealth.com

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1427065648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD STE 233",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547185",
            "telephone_number": "907-352-1300",
            "fax_number": "907-352-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD STE 233",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547185",
            "telephone_number": "907-352-1300",
            "fax_number": "907-352-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 South Woodworth Loop",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457457",
            "country_code": "US",
            "telephone_number": "907-761-5996",
            "fax_number": "907-761-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTY",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2100",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.doty.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "950 E Bogard Rd Ste 233",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.