DR. DENE WESLEY DAUGHERTY (NPI# 1255564787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255564787 |
| Entity Type | Individual |
| Full Name | DR. DENE WESLEY DAUGHERTY |
| Credential | D.O. |
| Practice Address |
4422 Third Avenue Department of Surgery, 2nd Floor Mills Building Bronx NY 10457-2545 |
| Practice Telephone | 7189609000 |
| Practice Fax Number | 7189606132 |
| Mailing Telephone | 7189609000 |
| Mailing Fax Number | 7189606132 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 80784 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 25MB09572100 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 295046 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | OS018443 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4422 THIRD AVENUE DEPARTMENT OF SURGERY, 2ND FLOOR MILLS BUILDING |
| City | BRONX |
| State | NY |
| Zip Code | 10457-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548367873 | St. Barnabas Hospital | General Acute Care Hospital | 4422 Third Avenue, Bronx, NY 10457-2545 | 2006-09-20 |
| 1841808698 | Amr Abdulhalem Ahmed Shier | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Im Residency Secretary - St. Barnabas Health, Bronx, NY 10457 | 2020-07-17 |
| 1164040085 | Deepa Pramod Budh | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Mills Building, 3rd Floor, Bronx, NY 10457-1045 | 2020-07-07 |
| 1821656844 | Giorgio Haddad | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2019-06-04 |
| 1013574052 | David Sabbah | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2019-05-24 |
| 1467973495 | Elvina Clara Lingas | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2017-06-29 |
| 1871980508 | Neil Zacharias Limbo | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2015-04-21 |
| 1033523303 | Jeremy Shugar | Neuromusculoskeletal Medicine & OMM | 4422 Third Avenue, St Barnabas Hospital, Bronx, NY 10457 | 2014-06-16 |
| 1821417858 | Randi Luxenburg | Student in an Organized Health Care Education/Training Program | 4422 Third Avenue, Bronx, NY 10457 | 2014-04-07 |
| 1083986608 | Jeannelle Chaperon | Registered Nurse | 4422 Third Avenue, 2nd Fl. Annes Bldg., Bronx, NY 10457 | 2012-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073889085 | Shruti Sharma | Surgery | 6255 Broadway Apt 5b, Bronx, NY 10471 | 2012-03-25 |
| 1518292531 | Dag Medical, PC | Surgery | 3411 White Plains Rd, Bronx, NY 10467-5704 | 2009-10-08 |
| 1093945875 | Srinivas H Reddy | Surgery | 1400 Pelham Pkwy S., Bldg #1, Suite 1213 Jacobi Medical Center, Bronx, NY 10461 | 2009-07-15 |
| 1043452964 | Jeannine K Giacovelli | Surgery | 158r Hawkins St., Bronx, NY 10464 | 2009-03-25 |
| 1487810289 | Robert L Plummer Md Facs PC | Surgery | 176 E Mosholu Pk Wy S, Bronx, NY 10458-1174 | 2008-07-31 |
| 1356530539 | Sergio L. Baerga | Surgery | 3400 Bainbridge Ave. 4th Floor, Montefiore Medical Center - Department of Surgery, Bronx, NY 10467-2401 | 2007-10-23 |
| 1265557185 | Edward Hatfield Lowe Jr. | Surgery | 30 Pilot St, Bronx, NY 10464-1630 | 2007-03-20 |
| 1073645495 | Walter J.b. Hodgson | Surgery | 1575 Blondell Avenue, Ste. 125, Montefiore Medical Park, Bronx, NY 10461 | 2007-03-12 |
| 1154409852 | Matthew L Genovese | Surgery | 3257 Waterbury Ave, Bronx, NY 10465-1464 | 2006-11-01 |
| 1669557625 | Harold Brem | Surgery | 2500 Johnson Ave, Apt. 3d, Bronx, NY 10463-4925 | 2006-10-26 |
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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.