DR. KYLE BENJAMIN DOUGHERTY (NPI# 1821593641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821593641 |
| Entity Type | Individual |
| Full Name | DR. KYLE BENJAMIN DOUGHERTY |
| Credential | MD |
| Practice Address |
800 Rose St Rm M-53 Lexington KY 40536-0293 |
| Practice Telephone | 8593235083 |
| Mailing Telephone | 8593235083 |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | TP342 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
800 ROSE ST RM M-53 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020088 | Seth Stearley | Emergency Medicine | 800 Rose St Rm M-53, Lexington, KY 40536-0298 | 2006-09-06 |
| 1326657826 | Saran Somarajan Pillai | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0293 | 2020-07-30 |
| 1639708712 | Jessica Gail Adkins | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0293 | 2020-04-02 |
| 1538797394 | Josiah Burrows | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-7001 | 2020-03-29 |
| 1801424650 | Alexis Inge Luedke | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-7001 | 2020-03-28 |
| 1669000543 | Zhengqiu Zhou | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-7001 | 2020-03-27 |
| 1336776590 | Rachel Clare Shercliffe | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-7001 | 2020-03-26 |
| 1639706815 | Kyle James Peters | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-7001 | 2020-03-26 |
| 1275160574 | Bradley Charles Blankenship | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0001 | 2020-03-25 |
| 1447887849 | Alexander Chase Peterson | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0293 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1659786291 | Kristine Song | Emergency Medicine | 800 Rose St # M-53, Lexington, KY 40536 | 2014-06-23 |
| 1952640807 | Doctors Care Sc, Pa | Emergency Medicine | 1847 S Lake Dr, Lexington, SC 29073-7759 | 2013-02-12 |
| 1013273853 | Andrew D Buckley | Emergency Medicine | 2032 Twain Ridge Dr, Lexington, KY 40514-1325 | 2012-04-05 |
| 1518250570 | Bruce Joseph Kostelnik | Emergency Medicine | 1857 Goodpaster Way, Lexington, KY 40505-9005 | 2011-05-24 |
| 1588953913 | Bradley Parker Buckingham | Emergency Medicine | 4016 Mooncoin Way, Lexington, KY 40515-6018 | 2011-04-06 |
| 1144528589 | Nashley Kyle Steele | Emergency Medicine | Ukcmc Gme, 800 Rose St., Hq-101, Lexington, KY 40536-0293 | 2011-03-09 |
| 1720309859 | Sama Ghali | Emergency Medicine | 1000 South Limestone Street, Lexington, KY 40536 | 2010-06-11 |
| 1336468883 | Joseph Sung-hyun Kim | Emergency Medicine | Chandler Medical Ctr Rm M-53, 800 Rose Street, Lexington, KY 40536-0298 | 2010-05-24 |
| Find all providers in LEXINGTON | ||||
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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.