Scott Anthony Doherty, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Mobile, AL
NPI 1730108093 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1730108093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- #267 (AL)
- Practice address
- 6701 Airport Blvd Ste D144
Mobile, AL 36608-6701 - Phone
- (251) 660-3503
- Fax
- (251) 660-3504
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS PHS Naihs Crownpoint Hospital
Practice addresses (Care Compare)
Junction of Hwy 371 Navajo RT 9
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Hospital & facility affiliations
- Crownpoint Healthcare Facility
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, NM, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160713001650 | AL | Practitioner - Podiatry | 5991833865 | Reassigns benefits to 1 organization |
| I20241210001384 | NM | Practitioner - Podiatry | 5991833865 | Reassigns benefits to 2 organizations |
| I20251007002523 | TX | Practitioner - Podiatry | 5991833865 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #267 | AL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth McKinley Christian Health Care Services, Inc | Current |
Accepting new patients | |
| Alabama Providence Healthcare Services | Current |
Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current |
Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Alabama Providence Healthcare Services | Current |
Accepting new patients | |
| Providence Healthcare Services | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| New Mexico Vascular Consulting LLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Thoreau Clinic | Current |
Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients |
Locations
6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
9971 Airport Blvd
Mobile, AL 36608
Phone (251) 660-3500
9192 W Union Hills Dr
Peoria, AZ 85382
1808 E Aztec Ave
Ste 3
Gallup, NM 87301
Phone (505) 522-3323
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | #267 | AL | Yes |
Addresses
Primary practice location
6701 Airport Blvd Ste D144
Mobile, AL 36608-6701
Mailing address
9971 Airport Blvd
Mobile, AL 36608-9525
Phone (251) 660-3500
Other names
- N/a N/a N/a
Other providers in Mobile, AL
- Dockery & Associates
- Docrx Labs
- Docrx, Inc
- Doctors West & Associates, LLC
- Ozlem Dogan
- Carolyn M Dolan
- Amy Melissa Dolbear
- Hilary Dollar
- Rebekah Dollar
- Kalsang Dolma
All providers in Mobile, AL · Foot & Ankle Surgery Podiatrist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.