Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871801233 Individual Practitioner Female Practitioner

Mary Dolores Doherty , PEDIATRIC NURSE PRAC

Nurse Practitioner - Pediatrics • Boston, MA

Professional Overview & Biography Verified Profile Summary

Mary Doherty, PEDIATRIC NURSE PRAC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Boston, MA. Practice services are available at 243 CHARLES STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

243 Charles Street
Anesthesia Department

Boston, MA 02114

Telephone 6175733380
Fax 6175734033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
632 Specialists

Practicing in Boston, MA (1318 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MA RN133659

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013476860

Doctor of Osteopathic Medicine (D.O.), Master of Science

Paula Goodrich , CRNA

Registered Nurse

NPI 1063615755

Certified Registered Nurse Anesthetist

Dr. Peng Xiao , MD

Anesthesiology

NPI 1073509782

Doctor of Medicine (M.D.)

Michael Bekcerman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073667895

Certified Registered Nurse Anesthetist

Dr. Annie Song , MD

Anesthesiology

NPI 1073978334

Doctor of Medicine (M.D.)

Genevieve Childress , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093070393

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 20, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2010

Registered at 243 CHARLES STREET, ANESTHESIA DEPARTMENT, BOSTON, MA 02114 (Tel: 6175733380)

📍
Updated Business Mailing Address September 20, 2010

Registered at 243 CHARLES STREET, MASSACHUSETTS EYE & EAR INFIRMARY, BOSTON, MA 02114 (Tel: 6175733380)

👤
Provider Name / Credentials Updated September 20, 2010

Recorded as MARY DOHERTY, PEDIATRIC NURSE PRAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2010

Nurse Practitioner (License #RN133659 in MA)

🟢
Initial NPI Registration & Enumeration September 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871801233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2010
Last Update: September 20, 2010
Sole Proprietor: No

Mailing Address

243 Charles Street, Massachusetts Eye & Ear Infirmary

Boston, MA 02114

Phone: 6175733380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.