| Mr Matthew Jeffrey Doherty, CRNA | |
|
12221 N Mopac Expy, Austin, TX 78758-2401 | |
| (512) 901-1000 | |
| Not Available |
| Full Name | Mr Matthew Jeffrey Doherty |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 12221 N Mopac Expy, Austin, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013439215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP134789 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic Centers Of Colorado Llc | 2365714540 | 299 |
| North Platte Surgery Center Anesthesia Llc | 6709969751 | 15 |
| Entity Name | Arapahoe Gastroenterology Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598115479 PECOS PAC ID: 2466745294 Enrollment ID: O20160801001103 |
| Entity Name | Orthopedic Centers Of Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801339502 PECOS PAC ID: 2365714540 Enrollment ID: O20170823001317 |
| Entity Name | Central Colorado Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659890382 PECOS PAC ID: 5698041507 Enrollment ID: O20171020001571 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Jeffrey Doherty, CRNA 8000 E Maplewood Ave, Ste 200, Greenwood Village, CO 80111-4727 Ph: (856) 308-7399 | Mr Matthew Jeffrey Doherty, CRNA 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 901-1000 |
Denise Leger, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 Phone: 512-343-2292 Fax: 512-343-2745 | |
Cherese Wheelock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Donna M Landry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2304 Hancock Dr Ste 4, Austin, TX 78756 Phone: 512-407-8444 Fax: 512-407-8097 | |
Jeremy Frank Briggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Genevieve L Woolsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Mr. Taqi Qays Salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Dania Northcutt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 |