DR. JOHN J DOUGHERTY (NPI# 1942238027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942238027 |
| Entity Type | Individual |
| Full Name | DR. JOHN J DOUGHERTY |
| Credential | DO |
| Practice Address |
1010 Carondelet Dr Ste 220 Kansas City MO 64114-4822 |
| Practice Telephone | 8169411600 |
| Practice Fax Number | 8169411699 |
| Mailing Telephone | 8169411600 |
| Mailing Fax Number | 8169411699 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
104398 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 247956733 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538571641 | John Joseph Dougherty Iv | Physical Therapist | 4681 Ohio Dr Ste 110, Frisco, TX 75035-6014 | 2014-05-22 |
| 1720389240 | John James Dougherty | Speech-Language Pathologist | Exceptional Education & Student Services, 13th Floor, 301 North Ninth Street, Richmond, VA 23219-1927 | 2010-11-15 |
| 1881711026 | John Dougherty | Psychologist | 108 W Firetower Rd Ste D, Winterville, NC 28590-8408 | 2007-03-23 |
| 1982761755 | John P Dougherty | Dentist | 2333 E Campbell Ave, Phoenix, AZ 85016-5525 | 2007-01-02 |
| 1174532907 | John Dennis Dougherty | Dentist | 27 N Mountain Blvd, Mountaintop, PA 18707-1116 | 2006-08-08 |
| 1043252844 | John D Dougherty IIi | Internal Medicine | 555 E. Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-06-13 |
| 1760462543 | John Eugene Dougherty | Dentist | 1809 Nw Davis St, Portland, OR 97209-2121 | 2006-01-18 |
| 1053722934 | John Dougherty | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2014-05-14 |
| 1033448071 | John W Dougherty IIi | Psychiatry & Neurology | 937 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3800 | 2009-12-22 |
| 1508060054 | John Dougherty | Physician Assistant | 333 Cottman Ave, H3116, Philadelphia, PA 19111-2434 | 2007-06-11 |
| Street Address |
1010 CARONDELET DR STE 220 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720586621 | Trace Robert Yule | Nurse Practitioner | 1010 Carondelet Dr Ste 220, Kansas City, MO 64114-4822 | 2018-01-25 |
| 1255684338 | Edward R Friedlander | Pathology | 1010 Carondelet Dr Ste 220, Kansas City, MO 64114-4822 | 2012-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932397692 | Margaret E Gibson | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2007-10-09 |
| 1649346172 | Karen Jean Winegarner | Family Medicine | 1750 Independence Ave, Department of Family Medicine, Kansas City, MO 64106-1453 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105312 | 417 Sports Medicine and Orthopedics LLC | Family Medicine | 330 W Plainview Rd Ste F, Springfield, MO 65810-2672 | 2020-08-17 |
| 1871115857 | Ben Heimos | Family Medicine | 1 S Compton Ave, Saint Louis, MO 63103-2001 | 2020-05-12 |
| 1639645070 | Bluetail Biologics LLC | Family Medicine | 17300 N Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 | 2018-10-23 |
| 1083096671 | Daniel O'loughlin | Family Medicine | 1605 Martin Springs Dr Ste 330, Rolla, MO 65401-2980 | 2015-06-19 |
| 1295175057 | Devin Willis | Family Medicine | 16555 Manchester Rd Ste 100, Wildwood, MO 63040 | 2013-06-26 |
| 1922377274 | Duocorp Enterprises, LLC | Family Medicine | 1525 E Republic Rd, Suite A115, Springfield, MO 65804-6527 | 2011-12-15 |
| 1689960171 | Nathan Lee Granneman | Family Medicine | 200 Corporate Lake Dr, Columbia, MO 65203-7172 | 2011-06-22 |
| 1063568640 | Christian Verry | Family Medicine | 12680 Olive Blvd Ste 300, Saint Louis, MO 63141-6322 | 2007-01-26 |
| 1922116763 | Kristin Suzanne Oliver | Family Medicine | 17300 North Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 | 2006-08-29 |
| 1548867963 | Elizabeth Savika Liotta | Family Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.