MICHAEL KEVIN DOUGHERTY (NPI# 1245590264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245590264 |
| Entity Type | Individual |
| Full Name | MICHAEL KEVIN DOUGHERTY |
| Credential | MD |
| Practice Address |
2417 Atrium Dr Ste 150 Raleigh NC 27607-6673 |
| Practice Telephone | 9197912040 |
| Practice Fax Number | 9197912041 |
| Mailing Telephone | 9197912040 |
| Mailing Fax Number | 9197912041 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT201715 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2016-00550 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Spruce St, Philadelphia, PA 191044206 | 2156622200 |
| 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 |
| 1134228265 | Michael James Dougherty | Pediatrics | 200 Patewwod Drive, Suite A200, Greenville, SC 29615-3585 | 2006-09-22 |
| 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 |
| Street Address |
2417 ATRIUM DR STE 150 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750304820 | Danielle Elizabeth Cardona | Physician Assistant | 2417 Atrium Dr Ste 150, Raleigh, NC 27607-6673 | 2006-07-26 |
| 1194142422 | Danielle Elisabeth Stonebraker | Nurse Practitioner | 2417 Atrium Dr Ste 150, Raleigh, NC 27607 | 2014-03-25 |
| 1235457748 | Tanvir Rezwan Haque | Internal Medicine | 2417 Atrium Dr Ste 150, Raleigh, NC 27607-6673 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1730400268 | Amit Patel | Internal Medicine | 10207 Cerny St Ste 210, Raleigh, NC 27617-4887 | 2010-06-18 |
| 1811049307 | John V Yacono | Internal Medicine | 1011 Dresser Ct, Raleigh, NC 27609-7323 | 2007-01-17 |
| 1780778548 | Anant B Soni Md Pa | Internal Medicine | 3124 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8041 | 2006-10-03 |
| 1750348769 | Sharif Riaz Chowdhury | Internal Medicine | 3024 New Bern Avenue, Suite 301, Raleigh, NC 27610 | 2006-04-26 |
| 1518968775 | Seth A Kaplan | Internal Medicine | 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 | 2005-08-09 |
| 1073519880 | Ruth Mokeba-ekangaki | Internal Medicine | 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-6673 | 2005-06-27 |
| 1356906705 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-01 |
| 1588227839 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-22 |
| 1033679774 | Molly Whittaker Mcelroy | Internal Medicine | 3100 Blue Ridge Rd Ste 300, Raleigh, NC 27612-8002 | 2019-03-20 |
| 1487139929 | Raleigh D Eckert | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2018-10-01 |
| Find all providers in RALEIGH | ||||
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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.