Active NPIIndividual provider

Ian Doherty, CRNA

Nurse Anesthetist, Certified Registered in Manchester, New Hampshire

NPI Number1023683984
Practice location
1 Elliot Way Ste 200, Manchester, NH 03103-3502
Fax
—
Last updated
May 8, 2023

Ian Doherty is a Nurse Anesthetist, Certified Registered based in Manchester, NH. Ian Doherty practices in Manchester, NH and has the professional credentials of CRNA. The NPI Number for Ian Doherty is 1023683984 and holds a License No. 086161-23 (NH). The current practice location address for Ian Doherty is 1 Elliot Way Ste 200, Manchester, NH 03103-3502 and can be reached out via phone at 603-663-2315.

Provider Profile Details

NPI Number
1023683984
Provider Name
Ian Doherty
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1 Elliot Way Ste 200, Manchester, NH 03103-3502
Phone Number
603-663-2315
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2021
Last Update Date
May 8, 2023
Certification Date
May 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Elliot Way Ste 200
Manchester, NH 03103-3502
Zip
03103-3502
Phone Number
603-663-2315
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8085

License Information

License Number (1)
086161-23
License State (1)
NH
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
RN2304236
License State (3)
MA
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ian Doherty, CRNA?

The NPI number of Ian Doherty, CRNA is 1023683984. It was assigned on May 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Ian Doherty, CRNA?

Ian Doherty, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NH under license number 086161-23.

Where does Ian Doherty, CRNA practice?

The practice location is 1 Elliot Way Ste 200, Manchester, NH 03103-3502. The office can be reached at 603-663-2315 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023683984 directly on the NPPES registry website.

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