DR. MICHAEL WAYNE DAUGHERTY (NPI# 1124371067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124371067 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WAYNE DAUGHERTY |
| Credential | M.D. |
| Practice Address |
350 W Columbia St Ste 420 Evansville IN 47710 |
| Mailing Address |
350 W Columbia St Ste 420 Evansville IN 47710-1782 |
| Practice Telephone | 8124223254 |
| Mailing Telephone | 2703145826 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01080455A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300014772 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4777 E Galbraith Rd, Cincinnati, OH 452362725 | 5136863000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1275571978 | Michael Edward Daugherty | Surgery | 2925 Four Pines Dr, Lexington, KY 40502-2971 | 2006-06-03 |
| 1467447938 | Michael D. Daugherty | Urology | 2400 Osler Ct, Albany, GA 31707 | 2005-09-12 |
| 1548820178 | Michael Sean Daugherty | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-17 |
| 1811488380 | Michael Daugherty | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-05-21 |
| 1962849885 | Michael Robert Daugherty | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Ml 5037, Cincinnati, OH 45229-3026 | 2013-06-01 |
| 1861430746 | Michael Shannon Daugherty | Dentist | 1805 W Main St, Suite 3, Dothan, AL 36301-1343 | 2006-06-03 |
| Street Address |
350 W COLUMBIA ST STE 420 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629414420 | Pavel Morozov | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710-1782 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| 1376644047 | Homer Skaggs Jr. | General Practice | 903 Edgar Street, Evansville, IN 47710 | 2006-09-26 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275672800 | Advanced Diagnostic Imaging PC | Radiology | 319 N Saint Joseph Ave, Evansville, IN 47712-5562 | 2007-02-06 |
| 1972522126 | Advanced Diagnostic Imaging, PC | Radiology | 1120 Professional Blvd, Evansville, IN 47714-8000 | 2006-07-19 |
| 1023070208 | Thomas M. Harmon | Radiology | 6225 E Columbia St, Evansville, IN 47715-4003 | 2006-04-04 |
| 1629414420 | Pavel Morozov | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710-1782 | 2013-05-20 |
| 1679869010 | Arich Ryan Reynolds | Radiology | 3700 Washington Ave, Evansville, IN 47714 | 2011-06-23 |
| 1457687261 | Advanced Radiology Services | Radiology | 1120 Professional Blvd, Evansville, IN 47714-8000 | 2009-10-29 |
| 1932341591 | Leonid Drozhinin | Radiology | 3700 Washington Ave, Evansville, IN 47714-0541 | 2009-03-29 |
| 1932386984 | Mark Adam Hubbard | Radiology | 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 | 2008-01-22 |
| 1811108244 | Craig Albert Triola | Radiology | 350 W Columbia St, Ste 420, Evansville, IN 47710-1782 | 2007-05-25 |
| 1275747883 | Gateway Imaging LLC | Radiology | 611 Harriet St, Suite 103, Evansville, IN 47710-1781 | 2007-05-10 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on DR. MICHAEL WAYNE DAUGHERTY.
| 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.