THOMAS MICHAEL DOUGHERTY JR. (NPI# 1356978449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356978449 |
| Entity Type | Individual |
| Full Name | THOMAS MICHAEL DOUGHERTY JR. |
| Practice Address |
703 N Flamingo Rd Pembroke Pines FL 33028-1006 |
| Mailing Address |
5430 Brandy Cir E Fort Myers FL 33919-2251 |
| Practice Telephone | 9548441402 |
| Mailing Telephone | 2392470209 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952403651 | Thomas M Dougherty | Emergency Medicine | 1019 Skinker Pkwy, 156, Saint Louis, MO 63112-2355 | 2006-09-02 |
| 1578587382 | Thomas Roy Dougherty | Dentist | 618 W Main St Ste E-101, League City, TX 77573-3773 | 2006-07-26 |
| 1699712232 | Thomas Michael Dougherty | Internal Medicine | 15627 Imperial Hwy, La Mirada, CA 90638-1627 | 2006-06-01 |
| 1831514967 | Thomas Francis Dougherty Jr. | Counselor | 189 Market St, Kingston, PA 18704-5400 | 2014-02-26 |
| 1982036018 | Thomas E Dougherty IIi | Social Worker | 2000 Bremo Rd, Suite 105, Richmond, VA 23226-2440 | 2013-07-31 |
| 1174814123 | Thomas E Dougherty Jr. | Counselor | 514 S Stratford Rd, Ste 306, Winston Salem, NC 27103-1823 | 2011-04-26 |
| 1497056873 | Thomas Michael Dougherty Sr. | Psychologist | 12605 East Fwy, Houston, TX 77015-5625 | 2010-11-16 |
| 1902082621 | Thomas Dougherty | Physical Therapy Assistant | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-01-11 |
| 1558553248 | Thomas C Dougherty | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2007-08-16 |
| 1043374515 | Thomas Patrick Dougherty | Dentist | 5317 Limestone Rd, Wilmington, DE 19808-1252 | 2006-12-20 |
| Street Address |
703 N FLAMINGO RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245535 | Selwyn Waterton | Emergency Medicine | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2005-09-14 |
| 1730707522 | Carlos Rodrigo Carracedo Uribe | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-07-08 |
| 1710504816 | Marilyn Wan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-07-06 |
| 1891312401 | Serelee Editha St. Cyr Sullivan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-06-30 |
| 1114544897 | Pyi Phyo Aung | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-06-29 |
| 1306461207 | Mohammed Ebrahim | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-06-16 |
| 1821613829 | Myeongji Kim | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-06-15 |
| 1194345256 | Andrea Barberis | Physical Therapist | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-19 |
| 1093334740 | Jeffy Jacob | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-13 |
| 1396364378 | Vidhya Meyammai Meyyappa | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1336766542 | Kyeeun Park | Student in an Organized Health Care Education/Training Program | 10360 City Center Blvd Apt 303, Pembroke Pines, FL 33025-4490 | 2020-07-03 |
| 1609491497 | Gerardo Oliva | Student in an Organized Health Care Education/Training Program | 7141 Sw 5th Ct, Pembroke Pines, FL 33023-1008 | 2020-06-08 |
| 1144857335 | Rachel Nicole Hollands | Student in an Organized Health Care Education/Training Program | 17913 Sw 11th St, Pembroke Pines, FL 33029-4417 | 2020-03-26 |
| 1710526256 | Marie Micale Dubois | Student in an Organized Health Care Education/Training Program | 8564 Nw 37th Ct, Pembroke Pines, FL 33024-5193 | 2020-01-01 |
| 1164071387 | Morgan Vyas | Student in an Organized Health Care Education/Training Program | 13845 Nw 20th St, Pembroke Pines, FL 33028-2615 | 2019-09-10 |
| 1811557994 | Kebron Aklilu | Student in an Organized Health Care Education/Training Program | 10108 Sw 13th St Apt 5-208, Pembroke Pines, FL 33025-5018 | 2019-06-19 |
| 1972167682 | Isabel Leticia Mora | Student in an Organized Health Care Education/Training Program | 200 Sw 64th Ave, Pembroke Pines, FL 33023-1237 | 2019-04-28 |
| 1497218028 | Angelica Sant Antonio | Student in an Organized Health Care Education/Training Program | 2141 Nw 139th Ter, Pembroke Pines, FL 33028-2838 | 2019-04-10 |
| 1366903049 | Samir Sadik Al-ghazawi | Student in an Organized Health Care Education/Training Program | 603 N Flamingo Rd Fl 2, Pembroke Pines, FL 33028-1023 | 2019-03-26 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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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.