MR. MICHAEL CHRISTOPHER DOUGHERTY (NPI# 1114160439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114160439 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CHRISTOPHER DOUGHERTY |
| Credential | IDMT/NREMT-PARAMEDIC |
| Practice Address |
Psc 37 Box 4813 Apo AE 09459-9998 |
| Practice Telephone | 2108586699 |
| Mailing Telephone | 2108586699 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | P0923280 | Emergency Medical Service Providers | |
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881139939 | Michael Dougherty | Obstetrics & Gynecology | 913 Village Drive West, North Brunswick, NJ 08902 | 2016-12-28 |
| 1720276579 | Michael Dougherty | Physical Therapist | 9441 Lbj Fwy Ste 101, Dallas, TX 75243-4566 | 2007-10-05 |
| 1790997781 | Michael W Dougherty | Audiologist | 211 South St # 318, Philadelphia, PA 19147-2305 | 2007-05-04 |
| 1134228265 | Michael James Dougherty | Pediatrics | 200 Patewwod Drive, Suite A200, Greenville, SC 29615-3585 | 2006-09-22 |
| 1932186210 | Michael D Dougherty | Physician Assistant | 611 Sherman Ave East, Fort Atkinson, WI 53538 | 2005-12-28 |
| 1972129476 | Michael Devin Dougherty | Nurse Practitioner | 1690 N Monroe St, Tallahassee, FL 32303-5533 | 2020-06-19 |
| 1437786407 | Michael Dougherty | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-03-26 |
| 1245735133 | Michael James Dougherty | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2018-03-24 |
| 1679904999 | Michael Dougherty | Specialist/Technologist | 5165 Adanson St, Orlando, FL 32804-1331 | 2013-12-12 |
| 1245590264 | Michael Kevin Dougherty | Internal Medicine | 2417 Atrium Dr Ste 150, Raleigh, NC 27607-6673 | 2012-05-23 |
| Street Address |
PSC 37 BOX 4813 |
| City | APO |
| State | AE |
| Zip Code | 09459-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558599704 | Michael Anthony Maldonado | Technician, Other | Psc 37, Box 2263, Apo, AE 09459-9998 | 2009-06-26 |
| 1164666947 | Stephen Edward Jensen | Military Health Care Provider | Psc 37, Box 245, Apo, AE 09459-9998 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649293002 | Kevin S. Beasley | Social Worker | Psc 37 Box 2674, Apo Ae, UNITED KINGDOM 09459 | 2006-07-26 |
| 1114161593 | James L Wilson Jr. | Military Health Care Provider | Psc 37 Box 1437, Apo, AE 09459-0015 | 2009-04-29 |
| 1124258199 | Joseph-caesar Sung Archangel Jr. | Military Health Care Provider | Psc 37 Box 4876, Apo, AE 09459-0049 | 2009-07-23 |
| 1083858260 | John Allen Parish Jr. | Military Health Care Provider | 352 Oss/ A7m, Unit 8810 Box 245, Apo, AE 09459-5245 | 2009-05-01 |
| 1518101039 | Robert M. Wilkins | Military Health Care Provider | Unit 8810 Box 245, Apo, AE 09459-5245 | 2009-04-28 |
| 1508095167 | George Gonzalez Jr. | Military Health Care Provider | Psc, Unit 4709, Apo, AE 09459-9998 | 2009-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1942784442 | Christopher Allen Foster | Military Health Care Provider | 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 | 2018-09-20 |
| 1497294359 | Ryan Springer | Military Health Care Provider | Psc 41 Box 2116, Apo, AE 09464-0022 | 2017-02-13 |
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1316322506 | Andrew Bowers | Military Health Care Provider | Psc 2, Box 8707, Apo, AE 09012 | 2015-07-29 |
| 1689060311 | Kody Whiteside | Military Health Care Provider | 99 Friendship Bldv, Apo, AP 96319-0061 | 2015-04-09 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1720409675 | Emily Porter | Military Health Care Provider | Psc 17 Box 66, Apo, AE 09214-0001 | 2013-12-19 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.