Dr. Sean Michael Dougherty is a Fairfield, California based male podiatrist with 15 years of experience in Podiatry. He completed his graduation in 2009. He is also affiliated with hospitals like Sutter Medical Center, Sacramento. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Sean Michael Dougherty for Podiatric Foot & Ankle Surgery is E5009 in California. Dr. Sean Michael Dougherty is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Sean Michael Dougherty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2009
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1620 Pennsylvania Ave Ste A, Fairfield, California, 94533-3509
Phone:
707-426-5644
Fax:
707-426-3156
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5890951230
Enrollment ID:
I20120730000365
NPI Number:
1407089261
NPI Enumeration Date:
27 Aug, 2009
NPI Last Update On:
02 Sep, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sean Michael Dougherty are as mentioned below.
License Number
Specialization
State
Status
E5009
Podiatric Foot & Ankle Surgery
California
Primary
E5009
Podiatry
California
Secondary
E5009
Primary Podiatric Medicine
California
Secondary
E5009
Podiatric Sports Medicine
California
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Sutter Medical Center, Sacramento (050108)
Sacramento, CA
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sean Michael Dougherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P01083197
Other
California
MEDICARE RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1620 Pennsylvania Ave Ste A, Fairfield, California
Zip:
94533-3509
Phone Number:
707-426-5644
Fax Number:
707-426-3156
Patients can reach Dr. Sean Michael Dougherty at 1620 Pennsylvania Ave Ste A, Fairfield, California or can call to book an appointment on 707-426-5644. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.