Individual provider Active NPI

Cynthia A Dougherty, MD

  • Surgery Physician
  • Warrenton, VA
National Provider Identifier
1760414890
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101055913 Issued in VA
Practice address
432 Hospital Drive
Warrenton, VA 20110
Phone
(540) 347-2805
Fax
(540) 347-5399
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101055913 VA Primary

Addresses

Primary practice location

432 Hospital Drive
Warrenton, VA 20110

Mailing address

8650 Sudley Road
# 206
Manassas, VA 20110
Phone (703) 368-9234

Other identifiers 2

IdentifierTypeStateIssuer
292150OtherVAANTHEM BCBS
007312296MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000592 VA Practitioner - General Surgery 1355516832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Ohio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fauquier Physician Practices LLCGroup PAC ID 6406083104, 43 clinicians

Practice addresses (Care Compare)

550 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5940

Hospital & facility affiliations

  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC Surgery CurrentSince Mar 1, 2020 Accepting new patients
Northern Virginia Surgical Specialists LTD Surgery CurrentSince Oct 12, 2016 Accepting new patients

Locations

1100 Sunset Ln
Ste 1201A
Culpeper, VA 22701
Phone (540) 812-2937

7915 Lake Manassas Dr
Ste 101
Gainesville, VA 20155
Phone (703) 743-7300

15195 Heathcote Blvd
Ste 240
Haymarket, VA 20169
Phone (571) 261-2782

9001 Digges Rd
Ste 208
Manassas, VA 20110
Phone (703) 526-0666

8650 Sudley Rd
Ste 206
Manassas, VA 20110
Phone (703) 368-9234

550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940

432 Hospital Dr
Warrenton, VA 20186
Phone (540) 347-2805

Interoperability endpoints

  • Direct secure messaging: cynthia.dougherty.1@16767.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1760414890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY ROAD",
            "address_2": "# 206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-9234",
            "fax_number": "703-368-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 HOSPITAL DRIVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "540-347-2805",
            "fax_number": "540-347-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101055913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "292150",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007312296",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.