MICHAEL JAMES DOUGHERTY


Address: 200 Patewwod Drive, Suite A200, Greenville, SC 29615-3585
Phone: 8644545125

MICHAEL JAMES DOUGHERTY (NPI# 1134228265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134228265
Entity Type Individual
Full Name MICHAEL JAMES DOUGHERTY
Credential D.O.
Practice Address 200 Patewwod Drive
Suite A200
Greenville
SC 29615-3585
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Practice Telephone 8644545125
Practice Fax Number 8642419201
Enumeration Date 2006-09-22
Last Update Date 2018-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 32324 SC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics M4041 TX Allopathic & Osteopathic Physicians
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
32324 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 323242 05

Other Providers MICHAEL DOUGHERTY

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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
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

Office Location

Street Address 200 PATEWWOD DRIVE
SUITE A200
City GREENVILLE
State SC
Zip Code 29615-3585

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194358051 Adenike Orogade Behavior Technician 17 Caldedon Ct, Suite B, Greenville, SC 29615 2020-02-19
1629608369 Jennifer Jacobsen Behavior Technician 17 Caldedon Court, Suite B, Greenville, SC 29615 2020-01-22
1932668217 Carolina Orthopaedic and Neurosurgical Associates Orthopaedic Surgery Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 2019-03-18
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavioral Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649532367 Lindsay M Moye Pediatrics 200 Patewood Dr Ste A140, Greenville, SC 29615 2012-06-08
1689837932 John David Feerick Jr. Pediatrics 2150 Herbert Ct, Greenville, NC 27834-3736 2008-07-08
1942249222 Jonathan E Markowitz Pediatrics 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 2006-06-05
1568409456 Douglas E. Winesett Pediatrics 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 2006-06-01
1811982457 Johann Rainer Poley Pediatrics 2150 Herbert Ct, Ecu Physicians Pediatric Gastroenterology, Greenville, NC 27834-3736 2005-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154775963 Jeffrey Lee Pediatrics 135 Rutledge Ave # 489b, Charleston, SC 29425 2016-04-18
1932177052 Sudipta Misra Pediatrics 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 2006-03-14
1609851336 Yuliya Rekhtman Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2005-12-15
1962994160 Stormy B Walker Pediatrics 3240 Sunset Blvd, West Columbia, SC 29169-3428 2018-06-04
1760800650 Carmine Suppa Pediatrics 171 Ashley Ave, Charleston, SC 29425-3816 2014-03-28
1992146419 Narendra Yallanki Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2013-07-12
1578852828 Nagraj Kasi Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2011-04-06
1225281124 University Medical Associates Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-10-23
1063672475 Candi S Jump Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-06-10
1205946290 Janaina Nogueira Anderson Pediatrics 171 Ashley Ave, Charleston, SC 29425-1711 2006-08-30
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Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

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.

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