Organization Active NPI

Maria Digna Doherty, M.D., PA

  • Ph.D. Medical Genetics
  • Brooksville, FL
National Provider Identifier
1891069035
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
ME0062700 Issued in FL
Legal business name
MARIA DIGNA DOHERTY, M.D., PA
Practice address
11525 Cortez Blvd
Brooksville, FL 34613-7373
Phone
(352) 596-9990
Fax
(352) 596-9997
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Christine Mondo, CPC
Title
Office Manager
Phone
(352) 420-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X ME0062700 FL Primary

Addresses

Primary practice location

11525 Cortez Blvd
Brooksville, FL 34613-7373

Mailing address

11525 Cortez Blvd
Brooksville, FL 34613-7373
Phone (352) 596-9990

Other identifiers 1

IdentifierTypeStateIssuer
371279600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Maria D Doherty and Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1891069035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137373",
            "telephone_number": "352-596-9990",
            "fax_number": "352-596-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137373",
            "telephone_number": "352-596-9990",
            "fax_number": "352-596-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA DIGNA DOHERTY, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MONDO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-420-8118",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "ME0062700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371279600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.