Dr. Sean Michael Dougherty, DPM
Dr. Sean Michael Dougherty, DPM is a Podiatry in Fairfield, California. Qualified in 2009, 17 years ago. Practices with Jiva Health Inc, a 45-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 17
- Licensed in
- CA
- In the registry since
- 2009
- Specialties on file
- 4
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
1620 Pennsylvania Ave Ste AFairfield, CA 94533-3509
Phone: (707) 426-5644
Fax: (707) 426-3156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence E5009 (CA) |
|---|---|
| Podiatrist | Taxonomy 213E00000X · Licence E5009 (CA) |
| Primary Podiatric Medicine Podiatrist | Taxonomy 213EP1101X · Licence E5009 (CA) |
| Sports Medicine Podiatrist | Taxonomy 213ES0000X · Licence E5009 (CA) |
Record details
| NPI number | 1407089261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | August 27, 2009 |
| Last updated in NPPES | September 2, 2020 |
| Certification date | September 2, 2020 |
| Mailing address | 1620 Pennsylvania Ave Ste A, Fairfield, CA 94533-3509 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Jiva Health Inc — 45 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Fairfield
-
Kathryn Elaine Fone, DPM
2750 N Texas St Ste 230, Fairfield, CA 94533-1290 · (707) 422-6642
-
Nancy L Kaplan, DPM
2702 Low Ct, Fairfield, CA 94534-9727 · (707) 432-2600
-
Giang Hong Duc Son, DPM
1620 Pennsylvania Ave Ste A, Fairfield, CA 94533-3551 · (707) 426-5644