DR. EDWARD JOSEPH DOUGHERTY IV MD
NPI 1801536651
Student in an Organized Health Care Education/Training Program in Weston, FL
About Dr. Edward Joseph Dougherty Iv Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD JOSEPH DOUGHERTY IV MD (NPI 1801536651) is an individual student in an organized health care education/training program in Weston, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Warren.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Edward Joseph Dougherty Iv Md 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.
WESTON, FL 33331
WESTON, FL 33331
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 Edward Dougherty's NPI number?
The NPI number for Edward Dougherty is 1801536651. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Edward Dougherty located?
Edward Dougherty practices at 2950 Cleveland Clinic Blvd, Weston, FL 33331. The listed phone number is (407) 595-7958.
What is Edward Dougherty's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Edward Dougherty enrolled in Medicare?
Yes. Edward Dougherty is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edward Dougherty was last updated on April 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Edward Joseph Dougherty IV, MD · NPI 1801536651
Student in an Organized Health Care Education/Training Program provider in Weston, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1801536651 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2950 CLEVELAND CLINIC BLVD, Weston, FL 33331-3625
- **Phone:** (407) 595-7958
## 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:** April 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1801536651) · Data from the CMS NPPES public registry.