William Edward Doughty, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2510A Issued in WY

Practice address

1401 W 5TH St
Sheridan, WY 82801

Phone

(307) 672-1042

Fax

(307) 672-1146

NPI assigned

Oct 25, 2006

Last updated

Jan 21, 2010By the provider in NPPES

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

Other names 1

• Bill Doughty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sheridan Pathology Associates PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Sheridan, WY
  • NPI 1235266750
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1871677914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828010807",
            "telephone_number": "307-673-7164",
            "fax_number": "307-674-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-1042",
            "fax_number": "307-672-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WY",
            "license": "2510A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103909100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "DOUGHTY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• DLK1 LLC (Still Waters Behavioral Health)
• DME Billing Enterprises LLC
• Katelynn Doherty
• Sarah Frances Wontrobski Doorn
• Lacey R Dorman, M.S., LPC, NCC
• Dr Safe Health PC
• Driftline Behavioral Health, LLC
• DTG II PLLC (BeyondMD)
• Carter Dubberley
• Carl Edward Dube

• Anatomic Pathology & Clinical Pathology Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.