DR. JON H DOCHERTY SR. (NPI# 1588604433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588604433 |
| Entity Type | Individual |
| Full Name | DR. JON H DOCHERTY SR. |
| Credential | MD |
| Practice Address |
1594 Freedom Blvd Suite 100 Florence SC 29505-6046 |
| Practice Telephone | 8436744760 |
| Mailing Telephone | 8436744760 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 7755 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 077552 | 05 | |
| SC | MEDICARE RAILROAD INDIVIDUAL | P00844614 | 01 |
| SC | GP4306 | 05 | |
| SC | MEDICARE RAILROAD GROUP | CG3543 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336185057 | Jon Harrell Docherty Jr. | Internal Medicine | 600 E Palmetto St, Florence, SC 29506 | 2006-06-21 |
| Street Address |
1594 FREEDOM BLVD SUITE 100 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558325464 | Drs. Phillips and Coker | Obstetrics & Gynecology | 1594 Freedom Blvd, Florence, SC 29505-6046 | 2006-04-17 |
| 1679926935 | Kimberly Owens | Nurse Practitioner | 1594 Freedom Blvd, Florence, SC 29505-6046 | 2016-07-21 |
| 1568827749 | Shannon K. Gray | Pharmacist | 1594 Freedom Blvd, Suite 102 B, Florence, SC 29505-6046 | 2015-12-15 |
| 1619287455 | Rebecca Camp Harlan | Nurse Practitioner | 1594 Freedom Blvd, Florence, SC 29505-6046 | 2010-10-14 |
| 1841445244 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd, Suite 102, Florence, SC 29505-6046 | 2008-11-26 |
| 1285820738 | Lindsay S Powell | Physician Assistant | 1594 Freedom Blvd, Suite 102b, Florence, SC 29505-6046 | 2007-09-19 |
| 1417156886 | Elijah D Owens | Psychiatry & Neurology | 1594 Freedom Blvd, Suite 305, Florence, SC 29505-6046 | 2007-07-16 |
| 1558395236 | Joel S Dekle | Family Medicine | 1594 Freedom Blvd, Ste 103, Florence, SC 29505 | 2006-07-10 |
| 1538198080 | Meenakshi A Pande | Internal Medicine | 1594 Freedom Blvd, Suite 102 B, Florence, SC 29501 | 2006-06-30 |
| 1356391759 | Carolinas Medical Alliance Inc | General Practice | 1594 Freedom Blvd, Ste 202, Florence, SC 29505-6046 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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. |
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| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1497251268 | Clinicops LLC | Internal Medicine | 1441 7th Street, Suite B, Florence, OR 97439-8581 | 2018-04-02 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1750737177 | Usaajj Medical LLC | Internal Medicine | 1523 Heritage Ln Unit B, Florence, SC 29505-3197 | 2016-05-05 |
| 1477907277 | Amanda Ayres Rutishauser | Internal Medicine | 7370 Turfway Rd Ste 100, Florence, KY 41042-4896 | 2016-04-18 |
| 1427447770 | Maqsood Medical Services LLC | Internal Medicine | 2490 Abbey Way, Florence, SC 29501-2905 | 2015-01-09 |
| 1679970867 | Carolinas Medical Alliance Inc | Internal Medicine | 1590 Freedom Blvd Ste C, Florence, SC 29505-6071 | 2014-12-03 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 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.