Gina M Doughty

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

293269-1 Issued in NY

Practice address

6101 E Molloy Rd
East Syracuse, NY 13057-1175

Phone

(315) 432-5636

NPI assigned

Feb 18, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stafkings Healthcare Systems, Inc

  • Home Health Agency
  • East Syracuse, NY
  • NPI 1801220645
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1962724906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 E. MOLLOY ROAD",
            "city": "E. SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-432-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 E MOLLOY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571175",
            "telephone_number": "315-432-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "GINA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "293269-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnelly & Oot Family Nurse Practitioners
• Patricia Donnelly, FNP
• Michele Donvito Cifaratta, MSPT
• Colleen Dorgan, MA
• Rachel Dorrer
• Marie Elena Dow, MSED
• Mary E Doyle
• Dr Howard J Kass
• Margaret Drescher, PA
• Cheryl Marie Dubar

• Licensed Practical Nurse in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.