DR. THOMAS M DOUGHERTY (NPI# 1952403651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952403651 |
| Entity Type | Individual |
| Full Name | DR. THOMAS M DOUGHERTY |
| Credential | MD |
| Practice Address |
1019 Skinker Pkwy 156 Saint Louis MO 63112-2355 |
| Practice Telephone | 6787937963 |
| Mailing Telephone | 6787937963 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 29906 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2009024720 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 29906 | WI | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
29906 | WI | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2009024720 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578587382 | Thomas Roy Dougherty | Dentist | 618 W Main St Ste E-101, League City, TX 77573-3773 | 2006-07-26 |
| 1699712232 | Thomas Michael Dougherty | Internal Medicine | 15627 Imperial Hwy, La Mirada, CA 90638-1627 | 2006-06-01 |
| 1356978449 | Thomas Michael Dougherty Jr. | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-03-26 |
| 1831514967 | Thomas Francis Dougherty Jr. | Counselor | 189 Market St, Kingston, PA 18704-5400 | 2014-02-26 |
| 1982036018 | Thomas E Dougherty IIi | Social Worker | 2000 Bremo Rd, Suite 105, Richmond, VA 23226-2440 | 2013-07-31 |
| 1174814123 | Thomas E Dougherty Jr. | Counselor | 514 S Stratford Rd, Ste 306, Winston Salem, NC 27103-1823 | 2011-04-26 |
| 1497056873 | Thomas Michael Dougherty Sr. | Psychologist | 12605 East Fwy, Houston, TX 77015-5625 | 2010-11-16 |
| 1902082621 | Thomas Dougherty | Physical Therapy Assistant | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-01-11 |
| 1558553248 | Thomas C Dougherty | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2007-08-16 |
| 1043374515 | Thomas Patrick Dougherty | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2006-12-20 |
| Street Address |
1019 SKINKER PKWY 156 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986541 | Pain Relief Center of St Louis LLC | Family Medicine | 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 | 2019-11-12 |
| 1720635329 | Mercy Clinic East Communities | Family Medicine | 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 | 2019-08-20 |
| 1063066777 | Isabella Citizens for Health, Inc. | Family Medicine | 312 Union St, Saint Louis, MI 48880-1830 | 2019-07-31 |
| 1043864010 | Isabella Citizens for Health, Inc. | Family Medicine | 113 E Saginaw St, Saint Louis, MI 48880-1755 | 2019-07-29 |
| 1558896969 | Shivani Sockanathan | Family Medicine | 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 | 2017-04-23 |
| 1598299646 | Kharole Compere | Family Medicine | 175 N Oaks Plz, Saint Louis, MO 63121-2925 | 2017-04-16 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1144608035 | Daniel Urcuyo | Family Medicine | 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 | 2015-05-11 |
| 1376958728 | Jamil Neme | Family Medicine | 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 | 2014-06-24 |
| 1144633819 | Perini Shah | Family Medicine | 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 | 2014-06-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
Please comment or provide details below to improve the information on DR. THOMAS M DOUGHERTY.
| 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.