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MRS. MARY JO DOUGHERTY PA - C
NPI 1578602017
Physician Assistant - Medical in Chesapeake, VA

Active since February 05, 2007PECOS Enrolled
700 OAK GROVE RD, CHESAPEAKE, VA 23320(757) 977-8500(757) 904-1703 Get Directions Write a Review

NPPES record last updated: August 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Jo Dougherty Pa - C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY JO DOUGHERTY PA - C (NPI 1578602017) is an individual medical provider in Chesapeake, Virginia, licensed in Virginia (0110003585) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578602017
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARY JO DOUGHERTYCredential: PA - C
Location Address700 OAK GROVE RDChesapeake, VA 23320-3728
Mailing Address700 Oak Grove RdChesapeake, VA 23320-3728 · (757) 977-8500 · Fax (757) 904-1703
Phone(757) 977-8500
Fax(757) 904-1703
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 10, 2024
NPPES CertifiedAugust 10, 2024
✔ NPI 1578602017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in VA · 0110003585✔ Licensed in DE · C5-0000574✔ Licensed in PA · MA052848
700 OAK GROVE RD, Chesapeake, VA 23320
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Jo Dougherty Pa - C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROCREATE FERTILITY CENTER OF VIRGINIA PLLC
Obstetrics & Gynecology (Reproductive Endocrinology)
700 OAK GROVE RD
CHESAPEAKE, VA 23320
Chesapeake City (757) 977-8500
IVF VIRGINIA LLC
Clinical Medical Laboratory
700 OAK GROVE RD
CHESAPEAKE, VA 23320
Chesapeake City (757) 977-8500

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 Mary Jo Dougherty's NPI number?

The NPI number for Mary Jo Dougherty is 1578602017. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Mary Jo Dougherty located?

Mary Jo Dougherty practices at 700 Oak Grove Rd, Chesapeake, VA 23320. The listed phone number is (757) 977-8500.

What is Mary Jo Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Jo Dougherty enrolled in Medicare?

Yes. Mary Jo Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jo Dougherty was last updated on August 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.