DR. LARRY CALVIN DAUGHERTY (NPI# 1407011208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407011208 |
| Entity Type | Individual |
| Full Name | DR. LARRY CALVIN DAUGHERTY |
| Credential | M.D. |
| Practice Address |
188 W Northern Lights Blvd Ste 100 Anchorage AK 99503-3902 |
| Mailing Address |
188 W Northern Lights Blvd Ste 800 Anchorage AK 99503-3984 |
| Practice Telephone | 9072762803 |
| Mailing Telephone | 9072762803 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
8330 | AK | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME112529 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MT193247 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006593600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053493486 | Larry D. Daugherty | Dentist | 124 Island Professional Park, St Simons Island, GA 31522 | 2006-10-19 |
| 1861521668 | Larry Edmond Daugherty | Dentist | 305 Estill Street, Berea Hospital, Berea, KY 40403 | 2007-03-05 |
| Street Address |
188 W NORTHERN LIGHTS BLVD STE 100 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558535971 | Jason Andrew Call | Radiology | 188 W Northern Lights Blvd Ste 100, Anchorage, AK 99503 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427476340 | Daniel Seible | Radiology | 2841 Debarr Rd Ste 100, Anchorage, AK 99508 | 2014-03-29 |
| 1558535971 | Jason Andrew Call | Radiology | 188 W Northern Lights Blvd Ste 100, Anchorage, AK 99503 | 2008-04-16 |
| 1942331558 | Malcolm I Bull | Radiology | 7220 Russell Cir, Anchorage, AK 99507-6755 | 2007-03-07 |
| 1730492588 | William Jared Magnuson | Radiology | 3851 Piper Street, Anchorage, AK 99507 | 2010-07-22 |
| 1205902491 | L Rodney Cook Md Pa | Radiology | 3200 Providence Drive, Anchorage, AK 99508 | 2006-11-28 |
| 1871565556 | James G Blom | Radiology | 3851 Piper St, Tower U, Suite Ll002, Anchorage, AK 99508-4684 | 2006-02-06 |
| 1982676284 | John B Halligan | Radiology | 3851 Piper St, Tower U, Ste1, Anchorage, AK 99508 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609202282 | Rbs Evolution of Juneau LLC | Radiology | 1701 Salmon Creek Rd, Juneau, AK 99801 | 2013-09-16 |
| 1316280209 | Rbs Evolution of Alaska LLC | Radiology | 240 Hospital Place, Soldotna, AK 99669 | 2013-03-29 |
| 1063711026 | John Stuart Yordy | Radiology | 2490 S Woodworth Loop Ste 150, Palmer, AK 99645-7407 | 2011-03-16 |
| 1972626927 | Eugene Hsu Huang | Radiology | 1701 Salmon Creek Lane, Juneau, AK 99801-7868 | 2007-04-06 |
| 1447570874 | Valley Radiation Oncology | Radiology | 2490 S Woodworth Loop, Suite 150, Palmer, AK 99645-7405 | 2010-06-08 |
| 1356437792 | Fairbanks Radiation Oncology LLC | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
| 1891881231 | Essam D Shihadeh | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
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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.