Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Doughty

Individual provider Physician Assistant · NPI 1376387670

Mackenzie Doughty is a Physician Assistant in Baltimore, Maryland. Qualified in 2024, 2 years ago. Practices with Johns Hopkins University, a 2,855-clinician group. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
Specialties on file
2

Practice location Address checks out

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone: (410) 550-0350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0009456 (MD)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376387670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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