DR. TIMOTHY JOHN DAUGHTON JR. (NPI# 1144299835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144299835 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN DAUGHTON JR. |
| Credential | D.C. |
| Practice Address |
182 Intrepid Ln Syracuse NY 13205-2545 |
| Practice Telephone | 3154986888 |
| Practice Fax Number | 3154986889 |
| Mailing Telephone | 3154986888 |
| Mailing Fax Number | 3154986889 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 012393 | NY | Chiropractic Providers |
| N | 111N00000X | Chiropractor | DC009543 | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | DA1818647 | 01 |
| Street Address |
182 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767000 | Mikhail Boris Shik | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-02-02 |
| 1225459175 | Familycare Medical Group PC | Non-Pharmacy Dispensing Site | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-12-19 |
| 1902245384 | Sean Bresnahan | General Practice | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-06-19 |
| 1346584034 | Sue A Stucker | Registered Nurse | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2012-11-19 |
| 1376898197 | Kathleen Mcdonnell Michel | Nurse Practitioner | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2012-07-18 |
| 1215017371 | Ajaz B Shawl | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-10-16 |
| 1962593327 | Kenneth Barrett Parker | Chiropractor | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2006-09-28 |
| 1356369060 | Gerald V. Mcmahon | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-07-18 |
| 1811959935 | Digant M. Nanavati | Family Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958215 | Kyle Randy Steiner | Chiropractor | W Genesee St, Syracuse, NY 13219-1748 | 2019-12-06 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1891233268 | Zachary Rall | Chiropractor | 123 Stolp Ave, Syracuse, NY 13207-1326 | 2017-02-06 |
| 1164880191 | Rebecca Marie Pierotti | Chiropractor | 6361 Thompson Rd, Suite 1, Syracuse, NY 13206-1448 | 2016-02-04 |
| 1922472737 | Patrick Lonergan Dc | Chiropractor | 111 Stockton Pl, Syracuse, NY 13219-2858 | 2015-11-17 |
| 1003242017 | Lauren Warner | Chiropractor | 201 E Palm Dr, Suite E, Syracuse, IN 46567-1984 | 2013-09-23 |
| 1366715252 | Dynamic Spine and Rehabilitation Center | Chiropractor | 106 E Pickwick Dr, Syracuse, IN 46567-1713 | 2012-02-23 |
| 1891066189 | Erick Leffler | Chiropractor | 201 E Palm Dr Ste E, Syracuse, IN 46567 | 2012-01-19 |
| 1649565664 | Dr. Ricky Sam Cavallaro, Family Chiropractor Pllc | Chiropractor | 100 Osceola Pl., Syracuse, NY 13209-1242 | 2011-06-17 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY JOHN DAUGHTON JR..
| 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.