MATTHEW DOUGHERTY MD
NPI 1841236593
Pediatrics in Saint Louis, MO
NPI Status: Active since June 21, 2006
Contact Information
13303 TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 842-5239
Fax: (314) 842-3835
- Individual
- Male
- Pediatrics
- Accepts Insurance
About MATTHEW DOUGHERTY
This page provides the complete NPI Profile along with additional information for Matthew Dougherty, a pediatrician established in Saint Louis, Missouri with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1841236593 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number A88589 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1841236593
- Provider Name
- MATTHEW DOUGHERTY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13303 TESSON FERRY RD SAINT LOUIS, MO 63128
- Location Phone
- (314) 842-5239
- Location Fax
- (314) 842-3835
- Mailing Address
- PO BOX 23340 SAINT LOUIS, MO 63156
- Mailing Phone
- (314) 842-5239
- Mailing Fax
- (314) 842-3835
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-21-2006
- Last Update Date
- 09-21-2012
- Code Navigator
A pediatrician like Matthew Dougherty is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A88589
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| $$$$$$$$$DOU | OTHER (01) | MERCY | |
| 319419 | OTHER (01) | GHP | |
| 219515 | OTHER (01) | BCBS | |
| 219515 | OTHER (01) | HEALTHLINK | |
| 6305736 | OTHER (01) | CIGNA | |
| 2700164 | OTHER (01) | UHC | |
| 7373873 | OTHER (01) | AETNA | |
| 72299V34311 | OTHER (01) | MO | HEALTHCARE USA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1841236593, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841236593, enumerated as an "individual" on June 21, 2006.
The provider is located at 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 and the phone number is (314) 842-5239.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: UnitedHealthcare, Medicare, Medicaid, Blue Cross. Please consult your insurance carrier or call the provider to verify.
