Dr. Mark Gerard Doherty
Gynecologist Gynecologic Oncologist and 3 more
1625 N George Mason Dr Suite 475
Arlington
, Virginia 22205-3683
Dr. Mark Gerard Doherty
Gynecologist Gynecologic Oncologist and 3 more
1625 N George Mason Dr Suite 475
Arlington
, Virginia 22205-3683
(703) 717-4009
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About
Features
Specialties
- Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Mark Gerard Doherty
- 1625 N George Mason Dr Suite 475
- Arlington, VA
- Zip : 22205-3683
- Fax : (703) 717-4009
- Phone : (703) 717-4000
Second Address
- Dr. Mark Gerard Doherty
- 1625 N George Mason Dr Suite 475
- Arlington, VA
- Zip : 22205-3683
- Fax : (703) 717-4009
- Phone : (703) 717-4000
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FAQs
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Is Dr. Mark Gerard Doherty a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | 48014 | TN |
| N | 207VG0400X | Gynecologist | H4087 | TX |
| N | 207VG0400X | Gynecologist | MD60066893 | WA |
| Y | 207VX0201X | Gynecologic Oncologist | 0101257128 | VA |
| N | 207VX0201X | Gynecologic Oncologist | 48014 | TN |
| N | 207VX0201X | Gynecologic Oncologist | H4087 | TX |
| N | 207VX0201X | Gynecologic Oncologist | MD 60066893 | WA |
National Provider Identifier
| NPI | 1467423871 |
|---|---|
| Provider Name | Dr. Mark Gerard Doherty |
| First Address | Arlington, VA 22205-3683 |
| Second Address | Arlington, VA 22205-3683 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2006 |
| Last Update Date | 16/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100000460A | (05) | OK |
| 136867209 | (05) | TX |
| 136867213 | (05) | TX |
| 136867216 | (05) | TX |
| 136867505 | (05) | TX |
| 1467423871 | (05) | VA |
| 48014 | TENNESSEE LICENSE (01) | TN |
| 8R1427 | BCBS (01) | TX |
| B22310 | (02) | TX |
| G8884737 | MEDICARE - SNO CO (01) | WA |
| H4087 | MEDICAL LICENSURE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.