JAMES J DOUGHERTY


Address: 2454 Island Vw, Canyon Lake, TX 78133-5144
Phone: 8308997064

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
E4302 TX Allopathic & Osteopathic Physicians

Other Providers JAMES DOUGHERTY

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

Office Location

Street Address 2454 ISLAND VW
City CANYON LAKE
State TX
Zip Code 78133-5144

Providers in the same zip code

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 Information

Taxonomy Code 2083A0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Aerospace Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City CANYON LAKE
Zip Code 78133

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Dataset Information

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.

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