LAURA WAIKART DOUGHERTY


Address: 103 Midlands Ct, West Columbia, SC 29169-3456
Phone: 8037943581

LAURA WAIKART DOUGHERTY (NPI# 1881632289) 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) 1881632289
Entity Type Individual
Full Name LAURA WAIKART DOUGHERTY
Other Name LAURA LEE WAIKART
Credential MD
Practice Address 103 Midlands Ct
West Columbia
SC 29169-3456
Mailing Address Po Box 2137
Skyland
NC 28776-2137
Practice Telephone 8037943581
Practice Fax Number 8037917286
Mailing Telephone 8285752644
Mailing Fax Number 8283502174
Enumeration Date 2006-06-04
Last Update Date 2015-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 28749 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC SC MEDICAL LICENSE # TL28749 01
SC MEDICARE PTAN AA16666874 01

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1316913387 Laura Desiree Dougherty Physician Assistant 2 Embarcadero Ctr, Lobby Level, San Francisco, CA 94111-3823 2006-02-28

Office Location

Street Address 103 MIDLANDS CT
City WEST COLUMBIA
State SC
Zip Code 29169-3456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588654925 Roy Douglass Markham Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2005-10-26
1013233097 Hector Rodriguez Jr. Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2010-04-15
1750372827 Allergy Partners, Pllc Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2005-10-28
1821088261 Dewitt Mcintyre Coleman Jr. Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2005-10-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960726 Jerry Scott Oreilly Physical Therapy Assistant 100 Dreher Rd, Suite 100, West Columbia, SC 29169 2020-07-23
1134759921 A&m Medical, LLC Durable Medical Equipment & Medical Supplies 1053 Sunset Boulevard, West Columbia, SC 29169 2020-01-21
1750946067 First Physical Therapy, LLC Clinic/Center 100 Dreher Rd., Suite 100, West Columbia, SC 29169 2019-05-02
1295217545 Tynaka Kwans Wilson Nurse Practitioner Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 2018-09-04
1588183826 Kimberly Jane Jennings Registered Nurse 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2017-09-19
1164943213 Jacob Luke Wayland Emergency Medicine Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 2017-06-29
1740721232 Heather Detwiler Physical Therapy Assistant 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 2017-03-16
1588110761 Virginia I Hall Nurse Practitioner 2720 Susnet Blvd, West Columbia, SC 29169 2016-08-29
1215395744 Stacey Khalifa Social Worker 160 Medical Cir Fl 1, West Columbia, SC 29169 2016-01-28
1407252331 Sandy Frye Boone Counselor 2318 Sunset Blvd # 2a, West Columbia, SC 29169 2014-11-04
Find all providers in zip 29169

Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588654925 Roy Douglass Markham Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2005-10-26
1013233097 Hector Rodriguez Jr. Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2010-04-15
1891776621 Barbara Ellen Magera Allergy & Immunology 2720 Sunset Blvd, West Columbia, SC 29169-4810 2005-11-09
1750372827 Allergy Partners, Pllc Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2005-10-28
1821088261 Dewitt Mcintyre Coleman Jr. Allergy & Immunology 103 Midlands Ct, West Columbia, SC 29169-3456 2005-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841819182 Greenville Rheumatology & Allergy Allergy & Immunology 2104a Woodruff Rd, Greenville, SC 29607-5941 2020-04-15
1164956439 Rosenblatt Enterprise Group, LLC. Allergy & Immunology 46 Montagu St, Ste B, Charleston, SC 29401-6709 2017-04-13
1336255280 David Perrick Allergy & Immunology One Richland Medical Park, Suite 200 Carolina Allergy and Asthma Consultants, Columbia, SC 29203 2006-08-22
1245346196 Michael J Bykowsky Allergy & Immunology 1 Richland Medical Park Dr Ste 200, Carolina Allergy and Asthma Consultants, Columbia, SC 29203-6830 2006-08-22
1972526135 Allergy Partners, Pllc Allergy & Immunology 3610 Moore Duncan Hwy, Moore, SC 29369-9414 2006-07-26
1447285374 John Michael Pulcini Allergy & Immunology 10 Halton Green Way, Greenville, SC 29607-6606 2006-07-11
1861438699 Brian Samuel Dantzler Allergy & Immunology 46 Markfield Dr, Suite A, Charleston, SC 29407-6982 2006-06-21
1538101258 Allergy Partners, Pllc Allergy & Immunology 46a Markfield Dr, Charleston, SC 29407-6942 2006-06-11
1972541944 Beaufort County Allergy LLC Allergy & Immunology 60 Main Street, Suite D, Hilton Head Is, SC 29926-6603 2006-06-03
1619920246 Victoria M Diokno Allergy & Immunology 100 Fair Sailing Rd, Mount Pleasant, SC 29466-8158 2006-05-17
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Competitor

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City WEST COLUMBIA
Zip Code 29169

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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.

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