Jeanne Doherty, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD067919L Issued in PA

Practice address

1513 Race St
Philadelphia, PA 19102-1125

Phone

(215) 587-3159

Fax

(215) 587-9405

NPI assigned

Jan 3, 2006

Last updated

Apr 29, 2008By the provider in NPPES

Sex

Female

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

Enrolled in PA

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

Specialty

Physical Medicine and Rehabilitation

Education

Georgetown University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magee Rehabilitation Hospital Inpatient rehabilitation facility, Philadelphia, PA, CCN 393038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Methodist Associates in Healthcare, Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053355131
  Medicare reassignment Care Compare group NPD
• Methodist Associates in Healthcare, Inc

  dba Jefferson Community Physicians - Neurosurgery

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1790390813
  NPD
• Methodist Associates in Healthcare, Inc.

  dba Jefferson Community Physicians - Kairys

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1033575352
  NPD
• Franklintown Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1346279783
  NPD (past)
• Jefferson University Physicians

  dba Jefferson GI

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)
• Network Physicians of New Jersey PC

  • Neurology Physician
  • Voorhees, NJ
  • NPI 1891748398

  Physical Medicine & Rehabilitation

  NPD (past)

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

• Magee Rehabilitation Hospital

  • Rehabilitation Hospital
  • Phila, PA
  • NPI 1265410047

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1780662494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 RACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021125",
            "telephone_number": "215-587-3159",
            "fax_number": "215-587-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 RACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021125",
            "telephone_number": "215-587-3159",
            "fax_number": "215-587-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD067919L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001771060",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Dogan, RN
• Patrick Martin Doggett, MD
• Karl Doghramji, MD
• Enakeme Stella Dogun, MD
• Caroline L Doherty, CRNP
• John U. Doherty, M.D.
• Mary K. Doherty
• Timothy James Doherty, M.D.
• Nicolas Dohse
• Fatuma Doka, CRNP

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.