PAUL S DAUGHERTY (NPI# 1144383738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144383738 |
| Entity Type | Individual |
| Full Name | PAUL S DAUGHERTY |
| Credential | MD |
| Practice Address |
107 Imperial Blvd Suite 5 Hendersonville TN 37075 |
| Mailing Address |
Po Box 1734 Hendersonville TN 37077-1734 |
| Practice Telephone | 6158263111 |
| Practice Fax Number | 6158263112 |
| Mailing Telephone | 6158263111 |
| Mailing Fax Number | 6158263112 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD11629 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC | 4004046 | 01 | |
| CIGNA | 1067920 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333950 | Paul Daugherty | Counselor | 430 Franklin St Se, Warren, OH 44483-5715 | 2018-04-19 |
| 1194927780 | Paul Daugherty | Psychiatry & Neurology | 300 Wright Avenue, Marcy, NY 13404 | 2007-06-05 |
| Street Address |
107 IMPERIAL BLVD SUITE 5 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386035 | William Gerald Davis | Surgery | 107 Imperial Blvd, Suite 3, Hendersonville, TN 37075-3479 | 2006-04-20 |
| 1730584640 | Rodney Mccormick | Pharmacist | 107 Imperial Blvd, Suite 9, Hendersonville, TN 37075-3479 | 2014-11-04 |
| 1366854788 | First Choice Home Infusion, LLC | Pharmacy | 107 Imperial Blvd, Suite 9, Hendersonville, TN 37075-3479 | 2014-05-21 |
| 1982021721 | Paul S Daugherty Md PC | Clinic/Center | 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075-3479 | 2014-03-18 |
| 1487990149 | Laurie Jackson | Counselor | 107 Imperial Blvd, Hendersonville, TN 37075-3479 | 2012-12-27 |
| 1124266390 | P & P Compounding Shop, Inc. | Pharmacy | 107 Imperial Blvd, Suite 9, Hendersonville, TN 37075-3479 | 2009-01-27 |
| 1043347511 | Adult Cardiologist, P.C. | Internal Medicine | 107 Imperial Blvd, Ste.11, Hendersonville, TN 37075-3479 | 2007-02-28 |
| 1427118371 | Howard H Nuss | Podiatrist | 107 Imperial Blvd, #14, Hendersonville, TN 37077 | 2006-12-11 |
| 1881765402 | P and P Prescription Shop Inc | Pharmacy | 107 Imperial Blvd, Ste 9, Hendersonville, TN 37075-3479 | 2006-11-13 |
| 1336210525 | Rita Frenchman | Anesthesiology | 107 Imperial Blvd, Ste 15, Hendersonville, TN 37075 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578001608 | Usac-3 LLC | Internal Medicine | 174 Saundersville Rd, Hendersonville, TN 37075-8945 | 2017-02-09 |
| 1598194284 | Park Hill Medicine, Pa | Internal Medicine | 510 Park Hill Court, Hendersonville, NC 28739-4265 | 2013-11-04 |
| 1093977621 | Michael N Corradetti | Internal Medicine | 805 6th Ave W, Hendersonville, NC 28739-4137 | 2008-06-25 |
| 1285796367 | Felicia Browne Brabham | Internal Medicine | 510 Fleming St Ste C, Hendersonville, NC 28739-4250 | 2006-12-14 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| 1013009729 | Hailu T Kabtimer | Internal Medicine | 919 W Main St M3, Hendersonville, TN 37075 | 2006-09-29 |
| 1083718639 | Edward Keith Bentson | Internal Medicine | 1895 Pisgah Dr, Hendersonville, NC 28791-3760 | 2006-09-12 |
| 1346264900 | Lateef Abumoussa | Internal Medicine | 510 Park Hill Ct, Hendersonville, NC 28739-4265 | 2006-07-27 |
| 1073537072 | Tadron Wilson | Internal Medicine | 351 New Shackle Island Rd, Hendersonville, TN 37075 | 2006-07-26 |
| 1649206582 | Eduardo Balcells | Internal Medicine | 709 N Justice St Ste A, Hendersonville, NC 28791-3455 | 2006-06-23 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on PAUL S 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.