ELYSE DOHERTY PA-C
NPI 1467804088
Physician Assistant - Surgical in Boston, MA
About Elyse Doherty Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELYSE DOHERTY PA-C (NPI 1467804088) is an individual surgical provider in Boston, Massachusetts and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elyse Doherty Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elyse Doherty's NPI number?
The NPI number for Elyse Doherty is 1467804088. It was assigned to this individual provider in the NPPES registry on July 7, 2016.
Where is Elyse Doherty located?
Elyse Doherty practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-6600.
What is Elyse Doherty's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Elyse Doherty enrolled in Medicare?
Yes. Elyse Doherty is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elyse Doherty was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elyse Doherty, PA-C · NPI 1467804088
Surgical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 7, 2016.
## Identity
- **NPI:** 1467804088 (Entity type: Individual)
- **Enumerated:** July 7, 2016
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6110
- **Phone:** (617) 732-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1467804088) · Data from the CMS NPPES public registry.