Maria Digna Doherty, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME62700 Issued in FL

Practice address

11525 Cortez Blvd
Brooksville, FL 34613-7373

Phone

(352) 596-9990

Fax

(352) 596-9997

NPI assigned

May 18, 2006

Last updated

May 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdoherty295986@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Healthvine Medical Group Inc

  • Rural Health Clinic/Center
  • Brooksville, FL
  • NPI 1568826873
  NPD Authorized official
• Axzelant LLC

  • Durable Medical Equipment & Medical Supplies
  • Spring Hill, FL
  • NPI 1578942926
  Authorized official Same address or phone
• Maria D Doherty PA

  • Ph.D. Medical Genetics
  • Brooksville, FL
  • NPI 1326399700
  NPD (past) Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1982657193",
    "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": [
        {
            "address_1": "725 Benton Ave",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346013213",
            "country_code": "US",
            "telephone_number": "352-796-1492",
            "fax_number": "352-754-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MARIA",
        "middle_name": "DIGNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME62700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME62700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371279600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra K Dixon, MPH, RD, LA
• Tara Rene Dixon, ARNP-C
• Dna Comprehensive Therapy Services, LLC
• Dna Comprehensive Therapy Services, LLC (Elite Dna Therapy Services)
• Doctors at Home LLC
• David C Dohm, LMHC
• Donald J Hensley, PA (DBA The Hensley Center)
• Ashleigh Dougherty, BSW
• Julia Douglas, PHARMD
• Yasmine Douidar, MD

• Pediatrics Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.