TIMOTHY JOSEPH DOUGHERTY


Address: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724
Phone: 3373128249

TIMOTHY JOSEPH DOUGHERTY (NPI# 1487046694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487046694
Entity Type Individual
Full Name TIMOTHY JOSEPH DOUGHERTY
Credential NP
Practice Address 501 Dr Michael Debakey Dr
Lake Charles
LA 70601-5724
Mailing Address 711 Dr Michael Debakey Dr
Lake Charles
LA 70601-5785
Practice Telephone 3373128249
Practice Fax Number 3373126711
Mailing Telephone 3373128247
Mailing Fax Number 3374934355
Enumeration Date 2015-02-25
Last Update Date 2017-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP08206 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2386611 05

Other Providers TIMOTHY DOUGHERTY

NPI Name Taxonomy Address Enumeration
1629232723 Timothy Russell Dougherty Jr. Internal Medicine 4660 Kenmore Ave Ste 100, Alexandria, VA 22304-1306 2008-07-17
1205498102 Timothy Dougherty Radiology 3401 N Broad St, Philadelphia, PA 19140-5103 2019-07-01
1093045452 Timothy Dougherty Counselor 1437 S Belcher Rd, Clearwater, FL 33764-2829 2010-01-07
1164487344 Timothy Dougherty Emergency Medicine 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 2006-04-19

Office Location

Street Address 501 DR MICHAEL DEBAKEY DR
City LAKE CHARLES
State LA
Zip Code 70601-5724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407859937 Andre' Fontenot Knapp Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2005-05-30
1477171312 Emily Ann Presnull Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2020-07-07
1710459623 Christian Charles White Registered Nurse 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2018-12-18
1780196907 Candice Alea Boudreaux Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2017-10-27
1154854255 Chad Ray Hodge Registered Nurse 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2017-04-05
1730630864 Steven James Comeaux Registered Nurse 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2016-10-24
1538614235 Deanna Darlene Read Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2016-08-23
1336534064 Kelsey Cobb Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2015-03-31
1962813105 Heather Smith Adams Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2014-05-09
1114366325 Aimee Rebekah Mulhearn Physician Assistant 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2013-06-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
Find all providers in zip 70601

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942819131 Alisha Bernard Nurse Practitioner 2469 Topsy Rd, Lake Charles, LA 70611-5724 2020-07-24
1699396473 Patricia Duhon Nurse Practitioner 814 W Mcneese St Ste 100, Lake Charles, LA 70605-5426 2020-05-03
1134750052 Lauren Goodaker Nurse Practitioner 230 W Sale Rd, Lake Charles, LA 70605-2828 2020-01-29
1043867997 Cynthia Trahan Cox Nurse Practitioner 730 Tallow Rd, Lake Charles, LA 70607-7038 2019-08-23
1770145526 Lexie Miller Nurse Practitioner 1874 Poeyfarre Rd, Lake Charles, LA 70611-4698 2019-07-02
1477116036 Sarah Ardoin Bardin Nurse Practitioner 401 Dr Michael Debakey Dr Ste 300, Lake Charles, LA 70601-5864 2019-04-19
1194288266 Lauryn Caitlin Leslie Nurse Practitioner 333 Doctor Michael Debakey Dr Ste 140, Lake Charles, LA 70601-5889 2019-04-07
1649735234 Kayleigh Paige Head Nurse Practitioner 1000 Walters St Rm 204, Lake Charles, LA 70607-4647 2019-02-07
1548734270 Traci L. Johnson Nurse Practitioner 4150 Nelson Rd Ste 5, Lake Charles, LA 70605-4148 2019-01-16
1730662305 Brandy Laurice Semien Nurse Practitioner 1727 Imperial Blvd Bldg 1b, Lake Charles, LA 70605-5392 2018-09-10
Find all providers in LAKE CHARLES

Competitor

Search similar providers

City LAKE CHARLES
Zip Code 70601

Improve Information

Please comment or provide details below to improve the information on TIMOTHY JOSEPH DOUGHERTY.

Dataset Information

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.

Trending Searches