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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 323242 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881139939 | Michael Dougherty | Obstetrics & Gynecology | 913 Village Drive West, North Brunswick, NJ 08902 | 2016-12-28 |
1114160439 | Michael Christopher Dougherty | Emergency Medical Technician, Paramedic | Psc 37, Box 4813, Apo, AE 09459-9998 | 2009-04-16 |
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 |
Street Address |
200 PATEWWOD DRIVE SUITE A200 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-3585 |
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 |
Find all providers in zip 29615 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 29615 |
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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.