DR. MANUEL PRESTON DAUGHERTY (NPI# 1629078084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629078084 |
| Entity Type | Individual |
| Full Name | DR. MANUEL PRESTON DAUGHERTY |
| Credential | MD |
| Practice Address |
1601 Center St Ste 3n Mobile AL 36604-1512 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2516658200 |
| Practice Fax Number | 2516658210 |
| Mailing Telephone | 2516658200 |
| Mailing Fax Number | 2516658210 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3645 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 200046072 | 01 | |
| AL | 000053083 | 05 |
| Street Address |
1601 CENTER ST STE 3N |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420456 | Robin Shumaker | Physician Assistant | 1601 Center St, Mobile, AL 36604-1541 | 2020-09-03 |
| 1346851946 | Myrtle Delgado | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2020-08-17 |
| 1326656612 | Ashley Marie Jackson | Nurse Practitioner | 1601 Center St, Mobile, AL 36604-1541 | 2020-07-22 |
| 1083250583 | Tinsley Phillips Chavers | Dietitian, Registered | 1601 Center St, Mobile, AL 36604-1541 | 2019-11-20 |
| 1528626785 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1346808508 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1073171237 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1750949913 | Usa Health Physician Billing Services LLC | Durable Medical Equipment & Medical Supplies | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1215595657 | Usa Health Physician Billing Services LLC | Medical Genetics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| 1134787567 | Usa Health Physician Billing Services LLC | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619330719 | Zachary Davis Moore | Orthopaedic Surgery | 3421 Medical Park Dr # 2, Mobile, AL 36693-3330 | 2016-04-05 |
| 1811350481 | Mark Alan Prevost II | Orthopaedic Surgery | 3421 Medical Park Dr # 2-221, Mobile, AL 36693-3330 | 2016-03-31 |
| 1427491281 | Randall Drew Madison | Orthopaedic Surgery | 1601 Center St Ste 3a, Mobile, AL 36604-1541 | 2013-04-11 |
| 1548565773 | Destin Orthopedics,pl | Orthopaedic Surgery | 5613 Cottage Hill Rd, Mobile, AL 36609-4210 | 2011-01-19 |
| 1710931688 | Jorge E Alonso | Orthopaedic Surgery | 3421 Medical Park Dr, Med Park II, Mobile, AL 36693-3330 | 2006-05-22 |
| 1649250671 | John Neal Mcmillin | Orthopaedic Surgery | 2050 Michigan Ave, Mobile, AL 36615 | 2006-01-17 |
| 1265410658 | Albert Fox Haas | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608 | 2006-01-05 |
| 1205836574 | Thomas R. Dempsey | Orthopaedic Surgery | 4638 Bit and Spur Rd, Mobile, AL 36608-2646 | 2005-07-28 |
| 1578563938 | Andre J. Fontana | Orthopaedic Surgery | 3610 Springhill Memorial Dr, Mobile, AL 36608-1162 | 2005-07-28 |
| 1205489804 | Jonathon Andrew Gibson | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-07-23 |
| Find all providers in MOBILE | ||||
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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.