PAUL S DAUGHERTY MD PC (NPI# 1982021721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982021721 |
| Entity Type | Organization |
| Organization Name | PAUL S DAUGHERTY MD PC |
| Practice Address |
107 Imperial Blvd Suite 5 Hendersonville TN 37075-3479 |
| Mailing Address |
Po Box 1734 Hendersonville TN 37077-1734 |
| Practice Telephone | 6158263111 |
| Practice Fax Number | 6158263112 |
| Mailing Telephone | 6158263111 |
| Mailing Fax Number | 6158263112 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | DR. PAUL S. DAUGHERTY (PRESIDENT) |
| Authorized Official Telephone | 6158263111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
========= | TN | Ambulatory Health Care Facilities |
| Street Address |
107 IMPERIAL BLVD SUITE 5 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386035 | William Gerald Davis | Surgery | 107 Imperial Blvd, Suite 3, Hendersonville, TN 37075-3479 | 2006-04-20 |
| 1730584640 | Rodney Mccormick | Pharmacist | 107 Imperial Blvd, Suite 9, Hendersonville, TN 37075-3479 | 2014-11-04 |
| 1366854788 | First Choice Home Infusion, LLC | Pharmacy | 107 Imperial Blvd, Suite 9, Hendersonville, TN 37075-3479 | 2014-05-21 |
| 1487990149 | Laurie Jackson | Counselor | 107 Imperial Blvd, Hendersonville, TN 37075-3479 | 2012-12-27 |
| 1124266390 | P & P Compounding Shop, Inc. | Pharmacy | 107 Imperial Blvd, Suite 9, Hendersonville, TN 37075-3479 | 2009-01-27 |
| 1043347511 | Adult Cardiologist, P.C. | Internal Medicine | 107 Imperial Blvd, Ste.11, Hendersonville, TN 37075-3479 | 2007-02-28 |
| 1144383738 | Paul S Daugherty | Internal Medicine | 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075 | 2006-12-18 |
| 1427118371 | Howard H Nuss | Podiatrist | 107 Imperial Blvd, #14, Hendersonville, TN 37077 | 2006-12-11 |
| 1881765402 | P and P Prescription Shop Inc | Pharmacy | 107 Imperial Blvd, Ste 9, Hendersonville, TN 37075-3479 | 2006-11-13 |
| 1336210525 | Rita Frenchman | Anesthesiology | 107 Imperial Blvd, Ste 15, Hendersonville, TN 37075 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1073846697 | Indian Lake Medical Weight Loss & Wellness, Pllc | Clinic/Center | 133 Indian Lake Rd, Suite 204, Hendersonville, TN 37075-3883 | 2009-09-14 |
| 1598891665 | Highland Medical Associates, P.a. | Clinic/Center | 165 Coolridge Street, Hendersonville, NC 28792-2767 | 2007-02-25 |
| 1952708406 | Stanton Calvarese II | Clinic/Center | 100 Glen Oak Blvd, Hendersonville, TN 37075-3025 | 2014-11-28 |
| 1811911233 | Bluegrass Internal Medicine Associates, PC | Clinic/Center | 353 New Shackle Island Rd, Suite 245c, Hendersonville, TN 37075-2379 | 2006-07-27 |
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| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
| 1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
| 1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.