DR. MICHAEL JAMES DOUGHERTY (NPI# 1245735133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245735133 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES DOUGHERTY |
| Credential | MD |
| Practice Address |
3401 North Blvd Ste 200 Baton Rouge LA 70806-3743 |
| Practice Telephone | 2253816620 |
| Mailing Telephone | 2253816620 |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2018-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| 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 |
3401 NORTH BLVD STE 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806185 | Wayne David Gravois | Family Medicine | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2005-07-28 |
| 1447889373 | Sitara Satish | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-04-03 |
| 1093344053 | Mervina Aaliyah George | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-04-02 |
| 1235767302 | Valeria Alexandra Soegaard Garcia | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-04-01 |
| 1528696879 | Jeremy Adel | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-31 |
| 1831727148 | Jeffrey Thiebaud | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-31 |
| 1255969630 | Patrick Alexander Bergin | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-31 |
| 1831727379 | Ifeoma Okponyia | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-30 |
| 1467080903 | Alakananda Mukherjee | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-30 |
| 1649834508 | Benjamin Ozbun | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953160 | Ryne Michael Smith | Student in an Organized Health Care Education/Training Program | 4124 Lake Limestone Ct, Baton Rouge, LA 70816-6409 | 2020-08-21 |
| 1649881251 | Adam Yarochowicz | Student in an Organized Health Care Education/Training Program | 1385 Crescent Dr, Baton Rouge, LA 70806-8612 | 2020-08-17 |
| 1487265021 | Annadora Janet Bruce-keller | Student in an Organized Health Care Education/Training Program | 6324 Morgan Bend Dr, Baton Rouge, LA 70820-2002 | 2020-08-16 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1235758939 | Nicole Ashley Lecoq | Student in an Organized Health Care Education/Training Program | 12636 E Sheraton Ave, Baton Rouge, LA 70815-6838 | 2020-04-13 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1477180487 | Samantha Steve Grigus | Student in an Organized Health Care Education/Training Program | 6224 Belle Grove Dr, Baton Rouge, LA 70820-5020 | 2020-03-27 |
| 1851928147 | Joel Byrne | Student in an Organized Health Care Education/Training Program | 5131 Odonovan Dr Fl 5, Baton Rouge, LA 70808-4791 | 2020-03-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on DR. MICHAEL JAMES DOUGHERTY.
| 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.