Dr Christopher P Dougherty, DO | |
1504 Se 28th St, Bentonville, AR 72712-3988 | |
(479) 273-1111 | |
(479) 273-1255 |
Full Name | Dr Christopher P Dougherty |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 29 Years |
Location | 1504 Se 28th St, Bentonville, Arkansas |
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 |
---|---|---|---|
1124012000 | NPI | - | NPPES |
161277002 | Medicaid | AR | |
206074312 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | E476114 (Arkansas) | Primary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 2003014160 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
Entity Name | Arkansas Center For Arthroscopy, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568529295 PECOS PAC ID: 8426211772 Enrollment ID: O20120523000571 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher P Dougherty, DO 1504 Se 28th St, Bentonville, AR 72712-3988 Ph: (479) 273-1111 | Dr Christopher P Dougherty, DO 1504 Se 28th St, Bentonville, AR 72712-3988 Ph: (479) 273-1111 |
Rodger C Dickinson Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 Fax: 479-273-1255 | |
Brandon Lee Morris, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 | |
Charles Irving Jones Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Ste 300, Bentonville, AR 72712 Phone: 479-553-3360 Fax: 479-553-1911 | |
Dr. James Marshall Mckenzie, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 Fax: 479-273-1255 | |
Gannon B Randolph, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Moberly Ln, Bentonville, AR 72712 Phone: 479-521-2752 Fax: 479-521-4603 | |
Dr. Robert Angus Macleod, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Moberly Ln, Ste 4, Bentonville, AR 72712 Phone: 479-715-6600 Fax: 479-521-4603 |