JAMES J DOUGHERTY (NPI# 1295760544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295760544 |
Entity Type | Individual |
Full Name | JAMES J DOUGHERTY |
Credential | MD |
Practice Address |
2454 Island Vw Canyon Lake TX 78133-5144 |
Practice Telephone | 8308997064 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2012-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
E4302 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730478371 | James Bernard Dougherty Jr. | Internal Medicine | 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 | 2011-04-05 |
1134297617 | James Raymond Dougherty Jr. | Chiropractor | 2272 Downer Street Rd, Baldwinsville, NY 13027-9701 | 2006-12-01 |
1114422292 | James Labhras Dougherty | Student in an Organized Health Care Education/Training Program | 345 St. Paul Place, Bunting Building, 7th Floor, Baltimore, MD 21202 | 2018-03-29 |
1538332705 | James Robert Dougherty | Physical Therapist | 10220 W Forest Hill Blvd, Suite 140, Wellington, FL 33414-9332 | 2008-04-09 |
1629188750 | James Dougherty | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2006-08-30 |
1033138060 | James M Dougherty | Emergency Medicine | 400 Wabash Ave, Akron, OH 44307 | 2006-07-19 |
1275597643 | James F Dougherty | Physician Assistant | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2006-04-13 |
1710954938 | James F Dougherty | Orthopaedic Surgery | 1340 Charles St, Ste 100, Rockford, IL 61104 | 2006-03-07 |
1700876125 | James E Dougherty | Internal Medicine | 85 Seymour St, Suite 719, Hartford, CT 06106-5501 | 2005-10-26 |
Street Address |
2454 ISLAND VW |
City | CANYON LAKE |
State | TX |
Zip Code | 78133-5144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309571 | Amanda Mills | Registered Nurse | 1811 Montview, Canyon Lake, TX 78133 | 2020-09-01 |
1104301902 | Jannah Holley Vise | Acupuncturist | 190 Crazy Horse Trail, Canyon Lake, TX 78133 | 2018-09-27 |
1023480555 | Brookshire Brothers Inc | Pharmacy | 18275 Fm 306, Canyon Lake, TX 78133 | 2015-10-23 |
1154440873 | Jose P. Morin | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2007-03-28 |
1619059060 | Brandon Grimm D.c. P.a. | Chiropractor | 14812 South Access Road, Canyon Lake, TX 78133 | 2006-10-19 |
1649543455 | Jeffrey Quentin Harper | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133 | 2012-02-10 |
1225348048 | Hill Country Surgical Assistants | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2010-10-14 |
1376554253 | Don Coleman | Rehabilitation Practitioner | 111 Toye Blvd, Canyon Lake, TX 78133 | 2006-08-10 |
1063943041 | Windmill Wellness Ranch LLC | Substance Abuse Rehabilitation Facility | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2017-03-22 |
1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
Find all providers in zip 78133 |
Taxonomy Code | 2083A0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Aerospace Medicine |
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295267573 | Quinn Dufurrena | Preventive Medicine | 301 University Blvd # 1110, Galveston, TX 77555-1110 | 2017-03-28 |
1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
1689069296 | Darryl George Demaris | Preventive Medicine | Texas A&m Hsc Com S&w Hospital, 2401 S. 31st Street - Ms-01-w256, Temple, TX 76508-0001 | 2015-03-31 |
1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
1407198823 | David Chase Rogers | Preventive Medicine | 1100 Wilfod Hall Loop, Bldg. 4556, Lackland Afb, TX 78236-9908 | 2013-03-24 |
1326387291 | Skin Institute | Preventive Medicine | 1901 Babcock Rd Ste 200, San Antonio, TX 78229-4545 | 2013-02-12 |
1710221742 | Conrad Ivan Dalton | Preventive Medicine | 98 S. Shawnee Ridge Circle, The Woodlands, TX 77382-2555 | 2012-11-15 |
1164766358 | Guillermo J. Salazar | Preventive Medicine | 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137-4204 | 2012-11-12 |
1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
1205139367 | Kenneth Edward Cottle | Preventive Medicine | 148 S Bay Dr, Bullard, TX 75757-8929 | 2010-12-13 |
Find all providers with the same taxonomy |
City | CANYON LAKE |
Zip Code | 78133 |
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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.