DR. JON HARRELL DOCHERTY JR. (NPI# 1336185057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336185057 |
| Entity Type | Individual |
| Full Name | DR. JON HARRELL DOCHERTY JR. |
| Credential | MD |
| Practice Address |
600 E Palmetto St Florence SC 29506 |
| Mailing Address |
360 N Irby St Florence SC 29501-2808 |
| Practice Telephone | 8436679414 |
| Practice Fax Number | 8436671362 |
| Mailing Telephone | 8436679414 |
| Mailing Fax Number | 8436671362 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
20811 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE ID-TYPE UNSPECIFIED | AA85152293 | 01 |
| SC | 208117 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 635 W Wesmark Blvd, Sumter, SC 291501900 | 8034697500 | 8034697521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588604433 | Jon H Docherty Sr. | Internal Medicine | 1594 Freedom Blvd, Suite 100, Florence, SC 29505-6046 | 2006-06-08 |
| Street Address |
600 E PALMETTO ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805237 | Deborah L Hopla | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2005-07-19 |
| 1750908174 | Sara Davis Wallace | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2020-07-01 |
| 1972131225 | Chatonia Smalls | Social Worker | 600 E Palmetto St, Florence, SC 29506-2851 | 2020-03-31 |
| 1013555671 | Merritt Mccoy Tolan | Anesthesiology | 600 E Palmetto St, Florence, SC 29506-2851 | 2019-12-13 |
| 1841759008 | Marsha A Tunstall | Counselor | 600 E Palmetto St, Florence, SC 29506-2851 | 2019-03-18 |
| 1225520364 | Stephanie Nicole Ferguson | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2018-06-05 |
| 1043769763 | Paul Gwengi-anam | Dentist | 600 E Palmetto St, Florence, SC 29506-2851 | 2016-09-22 |
| 1386002152 | Melissa Felder | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506 | 2016-02-08 |
| 1629461298 | Brantley Wallace | Pharmacist | 600 E Palmetto St, Florence, SC 29506-2851 | 2015-03-06 |
| 1700279387 | Jessica Barnwell | Pharmacist | 600 E Palmetto St, Florence, SC 29506-2851 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1659597755 | Rebecca Rose Callis | Internal Medicine | 6909a Burlington Pike, Florence, KY 41042-1618 | 2007-04-17 |
| 1710056007 | Robert Thomas Keenan | Internal Medicine | 800 E Cheves St Ste 280, Florence, SC 29506-2652 | 2006-11-08 |
| 1215910708 | Wayne A. Schweitzer | Internal Medicine | 190 Nonotuck St, Florence, MA 01062-1911 | 2005-11-29 |
| 1598379885 | Northern Kentucky Arthritis Rheumatology and Infusion LLC | Internal Medicine | 6909a Burlington Pike, Florence, KY 41042-1618 | 2020-09-03 |
| 1003432402 | Articularis Healthcare Group Inc. | Internal Medicine | 800 E Cheves St Ste 280, Florence, SC 29506-2652 | 2020-06-22 |
| 1841695939 | Hopehealth, Inc | Internal Medicine | 600 E Palmetto St, Florence, SC 29506-2851 | 2014-10-31 |
| 1467486928 | Northampton Internal Medicine Associates, PC | Internal Medicine | 190 Nonotuck St, Florence, MA 01062-1911 | 2006-07-10 |
| 1881622819 | Pee Dee Internal Medicine | Internal Medicine | 514 S Dargan St, Suite G, Florence, SC 29506-2552 | 2006-06-29 |
| 1861435687 | Robert E Turner IIi | Internal Medicine | 600 E Palmetto St, Florence, SC 29506-2851 | 2006-06-13 |
| 1114969359 | Supen R Patel | Internal Medicine | 600 E Palmetto St, Florence, SC 29506 | 2006-06-12 |
| Find all providers in FLORENCE | ||||
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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.