WILLIAM E. DOUGHERTY (NPI# 1326054404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326054404 |
| Entity Type | Individual |
| Full Name | WILLIAM E. DOUGHERTY |
| Credential | M.D. |
| Practice Address |
927 Broadway St Suite 303 Quincy IL 62301-2719 |
| Practice Telephone | 2172246423 |
| Practice Fax Number | 2172229807 |
| Mailing Telephone | 2172246423 |
| Mailing Fax Number | 2172229807 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036-114502 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036114502 | 05 | |
| IL | HEALTH ALLIANCE | 110073 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722545 | William Ryan Dougherty | Registered Nurse | 5011 Norman Ave, Finleyville, PA 15332-1127 | 2016-11-09 |
| 1609054774 | William James Dougherty | Counselor | 3504 Freemansburg Ave, Palmer, PA 18045-5107 | 2008-01-31 |
| 1285797548 | William Francis Dougherty | Counselor | 301 W Grove St Ste 11, West Grove Professional Plaza, Clarks Summit, PA 18411-2079 | 2006-12-18 |
| 1497842512 | William Dougherty | Plastic Surgery | 1631 Hospital Drive, Suite 240, Santa Fe, NM 87505-7601 | 2006-10-09 |
| 1134142797 | William Vincent Dougherty IIi | Dentist | 200 Little Falls St., Suite 506, Falls Church, VA 22046 | 2006-07-25 |
| 1174968440 | William M Dougherty | Otolaryngology | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2013-05-01 |
| 1063520880 | William L Dougherty | Physician Assistant | 615 S Hansell St, Thomasville, GA 31792-5556 | 2006-08-29 |
| 1053346775 | William John Dougherty Jr. | Dentist | 3663 E Sunset Rd, Suite 107, Las Vegas, NV 89120-3218 | 2006-07-11 |
| 1548298789 | William Scott Dougherty | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1669440343 | William G Dougherty | Occupational Therapist | 4100 Lake Otis Pkwy, Ste 314, Anchorage, AK 99508-5231 | 2006-03-09 |
| Street Address |
927 BROADWAY ST SUITE 303 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429957 | Venu Reddy | Internal Medicine | 927 Broadway St, Suite 204, Quincy, IL 62301-2719 | 2005-07-07 |
| 1932716925 | Olivia Louise Patterson | Registered Nurse | 927 Broadway St, Quincy, IL 62301-2719 | 2020-09-24 |
| 1598375727 | Marissa Jo Lumpkin | Behavior Technician | 927 Broadway St, Quincy, IL 62301-2719 | 2020-08-03 |
| 1093347429 | Mandi Nicole Law | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-02-04 |
| 1720618457 | Laura Starman | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-01-22 |
| 1033761234 | Ashley Monita Smith | Social Worker | 927 Broadway St, Quincy, IL 62301-2719 | 2019-07-09 |
| 1659834273 | Debra Anna Derhake | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1881157493 | Erin Katharine Vonderhaar | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1598228116 | Aleshia Dawn Gerding | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1992268510 | Dawn Crabtree | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437138716 | Adnan Kaleli | Urology | 1147 Hancock St, Suite 205, Quincy, MA 02169-4343 | 2006-01-13 |
| 1861786261 | Daniel E Schneider | Urology | 1025 Maine St, Quincy, IL 62301-4038 | 2011-06-02 |
| 1891975892 | Adnan Kaleli Md, PC | Urology | 1147 Hancock St, Suite 205, Quincy, MA 02169-4343 | 2007-11-07 |
| 1962609768 | Matthew J Knudson | Urology | 1025 Maine St, Quincy, IL 62301-4038 | 2007-06-27 |
| 1811105141 | Michael Kenneth Ouwenga | Urology | 1025 Maine St, Quincy, IL 62301-4038 | 2007-05-18 |
| 1255304713 | Marvin I. Grote | Urology | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-07 |
| 1326027327 | M. Kazem Attai | Urology | 1025 Maine St, Quincy, IL 62301-4038 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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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.