William G Dougherty, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1089 Issued in AK

Practice address

4100 Lake Otis Pkwy
Ste 314
Anchorage, AK 99508-5231

Phone

(907) 274-2425

Fax

(907) 274-2428

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alaska Hand Surgery Associates, LLC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1477746782
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1669440343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2380",
            "fax_number": "907-770-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "STE 314",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085231",
            "telephone_number": "907-274-2425",
            "fax_number": "907-274-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT1089",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Dotten
• Betsy Louise Douds-Paczan, PA-S
• Doug a Vermillion MD
• Marilyn J Dougher, RNC
• Janet Dougherty, SLPA
• Mark William Doughty, FNP-BC
• Douglas Carter Smith
• Douglas J. Luiten, D.M.D., P.C.
• Donnell Isaiah Douglas
• Earl Douglas III

• Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.