JOSEPH EDWARD DOHERTY MD NPI 1396088209

NPI Information

  • NPI: 1396088209
  • Provider Name: JOSEPH EDWARD DOHERTY, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 N STATE ST
    C/O DEPARTMENT OF EMERGENCY MEDICINE
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-5570

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NPI Details

Joseph Edward Doherty, MD is an emergency medicine in Jackson, MS with 12 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Joseph Edward Doherty, MD NPI is 1396088209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

2500 N STATE ST
C/O DEPARTMENT OF EMERGENCY MEDICINE
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5570

The NPI 1396088209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Emergent insertion of breathing tube into windpipe using an endoscope (HCPCS:31500)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 3/28/2013 and was last updated on 11/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineT-2663MISSISSIPPINo
22086S0102XSurgerySurgical Critical Care24034MISSISSIPPINo
3207P00000XEmergency Medicine24034MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103837264MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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