William R Dougherty, MD
William R Dougherty, MD is a General Surgery in Taos, New Mexico. Graduated from University of Southern California Keck School of Medicine in 1985, 41 years ago. Practices with Taos Whole Health Integrative Care, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Mexico, Pennsylvania and Tennessee.
- Years since qualifying
- 41
- Trained at
- University of Southern California Keck School of Medicine
- Licensed in
- NM, PA, TN
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1331 Maestas RdTaos, NM 87571-6268
Phone: (575) 776-7806
Fax: (575) 224-7806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence MD2010-0793 (NM) |
|---|---|
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence MD38986 (TN) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence MD071147L (PA) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence MD2010-0793 (NM) |
Record details
| NPI number | 1497842512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 9, 2006 |
| Last updated in NPPES | January 23, 2023 |
| Certification date | January 23, 2023 |
| Mailing address | 1331 Maestas Rd, Taos, NM 87571-6268 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Also practises | CRITICAL CARE (INTENSIVISTS), PLASTIC AND RECONSTRUCTIVE SURGERY |
| Medical school | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Group practice | Taos Whole Health Integrative Care, Llc. — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |