Active NPI
Mark William Doering, MD
- Gynecology Physician
- Winchester, VA
National Provider Identifier
1811952898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 43969
- Practice address
- 874 Fox Dr
Winchester, VA 22603 - Phone
- (540) 662-0990
- Fax
- (540) 678-8054
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 43969 | VA | |
| Gynecology Physician | 207VG0400X | 43969 | VA | Primary |
Addresses
Primary practice location
874 Fox Dr
Winchester, VA 22603
Mailing address
874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709179 | Other | MOUNTAIN STATE | |
| 145479 | Other | SOUTHERN HEALTH | |
| 504648 | Other | NCPPO | |
| 200654 | Other | VA | ANTHEM |
| 46324 | Other | INFORMED | |
| 001717928 | Other | MOUNTAIN STATE | |
| 48030 | Other | OPTIMA HEALTH | |
| 160028198 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111118000101 | VA | Practitioner - Obstetrics/Gynecology | 3476727942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43969 | VA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1811952898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 FOX DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22603",
"telephone_number": "540-662-0990",
"fax_number": "540-678-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 FOX DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22603",
"telephone_number": "540-662-0990",
"fax_number": "540-678-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERING",
"first_name": "MARK",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2010-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "43969",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "43969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE",
"identifier": "001709179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "145479",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "504648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "200654",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "46324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE",
"identifier": "001717928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "48030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160028198",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.