Active NPI
Erin Doty MD PA
- Neurology Physician
- Jacksonville, FL
National Provider Identifier
1629201371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME90477
- Legal business name
- ERIN DOTY MD PA
- Practice address
- 7807 Baymeadows Rd E
Suite 401
Jacksonville, FL 32256-9664 - Phone
- (904) 730-3689
- Fax
- (904) 730-3688
- NPI assigned
- Aug 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erin G Doty, M.D.
- Title
- Physician Owner
- Phone
- (904) 730-3689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME90477 | FL | Primary |
Addresses
Primary practice location
7807 Baymeadows Rd E
Suite 401
Jacksonville, FL 32256-9664
Mailing address
7807 Baymeadows Rd E
Suite 401
Jacksonville, FL 32256-9664
Phone (904) 730-3689
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ0865 | Other | FL | R.R. MEDICARE |
| 46878 | Other | FL | BCBS |
Other names 1
- First Coast Neurosciences
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1629201371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 BAYMEADOWS RD E",
"address_2": "SUITE 401",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569664",
"telephone_number": "904-730-3689",
"fax_number": "904-730-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7807 BAYMEADOWS RD E",
"address_2": "SUITE 401",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569664",
"telephone_number": "904-730-3689",
"fax_number": "904-730-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIN DOTY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-28",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "DOTY",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "904-730-3689",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME90477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "DQ0865",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "46878",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "First Coast Neurosciences",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.