Provider Demographics
NPI:1063600237
Name:DOOLEY, WENDY P (MD)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:P
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1716 LOFT WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6647
Mailing Address - Country:US
Mailing Address - Phone:240-460-7867
Mailing Address - Fax:
Practice Address - Street 1:1716 LOFT WAY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6647
Practice Address - Country:US
Practice Address - Phone:240-460-7867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433119207V00000X
MDD76841207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1568807OtherGATEWAY
PA102044689Medicaid
PA2000668OtherHIGHNARK BLUE SHIELD
PAP01065630Medicare PIN
PA1568807OtherGATEWAY
PA311934OtherUNISON-YHCHC
PA2000668OtherHIGHMARK BLUE SHIELD-WMG
PA30084125OtherAMERIHEALTH MERCY-YHCHC
PA311938OtherUNISON-YHOBT
PA415980OtherUPMC-WMG
PAP01065630Medicare PIN
PA102044689Medicaid
PA30083674OtherAMERIHEALTH MERCY-WMG
PA30083675OtherAMERIHEALTH MERCY-WMG
PA311921OtherUNISON-WMG