DR. DANIEL W DOHERTY (NPI# 1124086384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124086384 |
| Entity Type | Individual |
| Full Name | DR. DANIEL W DOHERTY |
| Credential | MD |
| Practice Address |
315 W 15th Street Liberal KS 67905-1340 |
| Mailing Address |
111 E Road Liberal KS 67901 |
| Practice Telephone | 6206241651 |
| Practice Fax Number | 6206292472 |
| Mailing Telephone | 6206243727 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0427658 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | M3427 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100320390B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258501 | Daniel Thomas Doherty | Dentist | 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 | 2018-06-13 |
| 1508493362 | Daniel Doherty | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-03-23 |
| 1588100184 | Daniel Leo Doherty Jr. | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2017-01-06 |
| 1730586611 | Daniel Keith Doherty | Pharmacist | 424 Savannah Rd, Lewes, DE 19958-1462 | 2014-11-20 |
| 1932338555 | Daniel Edward Doherty | Occupational Therapist | 96 Forest St, Peabody, MA 01960-3907 | 2009-07-02 |
| 1962592857 | Daniel Doherty | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-13 |
| 1215045851 | Daniel James Doherty | Physical Therapist | 45 Mallett Dr, Coastal Orthopedics and Sports Medicine, Freeport, ME 04032-1312 | 2006-08-25 |
| Street Address |
315 W 15TH STREET |
| City | LIBERAL |
| State | KS |
| Zip Code | 67905-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447294145 | Southwest Medical Center | Psychiatric Unit | 315 W 15th Street, Liberal, KS 67901-2455 | 2006-06-15 |
| 1720029069 | James Mitchell Wiley | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-09 |
| 1669412284 | Earl James Fitzgerald | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-08 |
| 1538109251 | Southwest Medical Center | General Acute Care Hospital | 315 W 15th Street, Liberal, KS 67901-2455 | 2006-06-08 |
| 1144260753 | Southwest Medical Center | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053468165 | Mosaic | Case Management | 441 N Industrial Ave, Liberal, KS 67905-1871 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931374 | Justin Morton | Non-emergency Medical Transport (VAN) | 1002 S Washington Ave, Liberal, KS 67901-4604 | 2020-10-28 |
| 1649885294 | K&t LLC | Technician/Technologist | 412 N Kansas Ave, Liberal, KS 67901-3330 | 2020-09-10 |
| 1073124921 | St. Catherine Hospital | Obstetrics & Gynecology | 2132 N Kansas Ave Ste C, Liberal, KS 67901-2099 | 2020-08-13 |
| 1871101162 | Whitaker Fitness Corporation | Clinic/Center | 1530 N Western Ave, Liberal, KS 67901-2167 | 2020-07-22 |
| 1639787906 | Lonnie Whitaker | Dietary Manager | 1530 N Western Ave Apt 115, Liberal, KS 67901-2167 | 2020-07-22 |
| 1679181176 | Susan N Lukwago | Dietitian, Registered | 1330 N Cain Ave, Liberal, KS 67901-2317 | 2020-07-21 |
| 1740803576 | Emmanuel Garcia | Student in an Organized Health Care Education/Training Program | 2460 Ridge Rd, Liberal, KS 67901-2026 | 2020-05-27 |
| 1184269250 | Emanuel Fernando Serrano | Specialist/Technologist | 121 W Spruce St, Liberal, KS 67901-4043 | 2019-11-13 |
| 1992358378 | Lacy Smith | Nurse Practitioner | 504 N Kansas Ave Ste B1, Liberal, KS 67901-3346 | 2019-07-24 |
| 1053882563 | Regional Services | Nurse Practitioner | 205 N Payne St, Liberal, MO 64762-9263 | 2018-12-10 |
| Find all providers in LIBERAL | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301429 | Rikkie Renee Thouvenell | Emergency Medicine | 906 S Lincoln Ave, Chanute, KS 66720-3041 | 2019-02-02 |
| 1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
| 1609185958 | Barbara K Lomeli | Emergency Medicine | 14500 S Quivira Rd, Olathe, KS 66062-9479 | 2010-10-05 |
| 1104815265 | Phillips County | Emergency Medicine | 409 E St, Box 309, Phillipsburg, KS 67661-1656 | 2005-10-20 |
| 1912530890 | Edward King | Emergency Medicine | 1428 S Main St Ste 4, Ottawa, KS 66067-3547 | 2020-02-19 |
| 1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
| 1912362682 | Newman Medical Partners LLC | Emergency Medicine | 2720 W 15th Ave, Emporia, KS 66801 | 2015-12-23 |
| 1730494048 | Kansas Physicians Group, LLC | Emergency Medicine | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-11 |
| 1700106168 | Joshua David Korosac | Emergency Medicine | 325 Maine St, Lawrence, KS 66044-1360 | 2010-06-08 |
| 1003146671 | Kstar Emergency Physicians, Pllc | Emergency Medicine | 1700 Sw 7th St, Topeka, KS 66606-2489 | 2010-01-05 |
| Find all providers with the same taxonomy | ||||
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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.