Active NPIIndividual provider

Gerald W Doherty, PA-C

Physician Assistant, Medical in Norwich, Vermont

NPI Number1134114770
Practice location
79 Kerwin Hill RD, Norwich, VT 05055-9475
Fax
802-371-4488
Last updated
June 3, 2008

Gerald W Doherty is a Physician Assistant, Medical based in Norwich, VT. Gerald W Doherty practices in Norwich, VT and has the professional credentials of PA-C. The NPI Number for Gerald W Doherty is 1134114770 and holds a License No. 055-0030712 (VT). The current practice location address for Gerald W Doherty is 79 Kerwin Hill RD, Norwich, VT 05055-9475 and can be reached out via phone at 802-649-3225 and via fax at 802-371-4488.

Provider Profile Details

NPI Number
1134114770
Provider Name
Gerald W Doherty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
79 Kerwin Hill RD, Norwich, VT 05055-9475
Phone Number
802-649-3225
Fax Number
802-371-4488
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2005
Last Update Date
June 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
79 Kerwin Hill RD
Norwich, VT 05055-9475
State
Vermont
Zip
05055-9475
Phone Number
802-649-3225
Fax Number
802-371-4488
Norwich, VT 05055Get directions →

Provider Business Mailing Address Details

Address
79 Kerwin Hill RD
Norwich, VT 05055-9475
City
Norwich
State
VT
Zip
05055-9475
Phone Number
802-649-3225
Fax Number
802-371-4488

License Information

License Number
055-0030712
License State
VT
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Gerald W Doherty, PA-C?

The NPI number of Gerald W Doherty, PA-C is 1134114770. It was assigned on September 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Gerald W Doherty, PA-C?

Gerald W Doherty, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055-0030712.

Where does Gerald W Doherty, PA-C practice?

The practice location is 79 Kerwin Hill RD, Norwich, VT 05055-9475. The office can be reached at 802-649-3225 (phone) or 802-371-4488 (fax).

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 1134114770 directly on the NPPES registry website.

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