MICHAEL SEAN DAUGHERTY (NPI# 1548820178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548820178 |
| Entity Type | Individual |
| Full Name | MICHAEL SEAN DAUGHERTY |
| Credential | PA |
| Practice Address |
243 Curtiss Rd Ste 100 Barksdale Afb LA 71110-2425 |
| Practice Telephone | 3184566884 |
| Mailing Telephone | 3184566884 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1275571978 | Michael Edward Daugherty | Surgery | 2925 Four Pines Dr, Lexington, KY 40502-2971 | 2006-06-03 |
| 1467447938 | Michael D. Daugherty | Urology | 2400 Osler Ct, Albany, GA 31707 | 2005-09-12 |
| 1811488380 | Michael Daugherty | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-05-21 |
| 1962849885 | Michael Robert Daugherty | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Ml 5037, Cincinnati, OH 45229-3026 | 2013-06-01 |
| 1861430746 | Michael Shannon Daugherty | Dentist | 1805 W Main St, Suite 3, Dothan, AL 36301-1343 | 2006-06-03 |
| Street Address |
243 CURTISS RD STE 100 |
| City | BARKSDALE AFB |
| State | LA |
| Zip Code | 71110-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937947 | Kermit G Helo IIi | Pediatrics | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2006-01-19 |
| 1427657543 | Michelle Ann Weiss | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2020-10-20 |
| 1457911471 | Timothy Ethridge | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-20 |
| 1265998462 | Brittney Theresa Yun | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-02-13 |
| 1083118525 | Matthew Scot Van Uitert | General Practice | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-03-20 |
| 1477061414 | Cynthia Williams Lecara | Registered Nurse | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-01-11 |
| 1659886455 | Srikanth Choudary Lavu | General Practice | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 | 2017-12-04 |
| 1942710223 | Charlotte Emma Buckley | Pharmacist | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-10-02 |
| 1306360250 | Kelsey E Jackson | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-08-02 |
| 1417327354 | Dynasty Stokes | Nurse Practitioner | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
| 1174010268 | Jeffrey M Van Ness | Student in an Organized Health Care Education/Training Program | Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 | 2018-04-16 |
| 1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
| 1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
| 1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
| 1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
| 1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
| 1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
| Find all providers in zip 71110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911471 | Timothy Ethridge | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-20 |
| 1053658559 | Christy-lynne Marie Mcginnis | Physician Assistant | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2013-01-03 |
| 1457650699 | Jeffrey David Marcotte | Physician Assistant | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2011-03-25 |
| 1700950334 | Katherine Louise Chauvin | Physician Assistant | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2006-11-17 |
| 1780646612 | Kimberly Jean Porter | Physician Assistant | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1134728769 | Hannah Michael | Physician Assistant | 8249 Vincent Rd, Denham Springs, LA 70726-6279 | 2020-10-24 |
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1669089389 | Emily Marie Bruce | Physician Assistant | 112 Peytral Dr, Raceland, LA 70394-2016 | 2020-09-27 |
| 1740891431 | Haley Webre | Physician Assistant | 110 Avery St, Luling, LA 70070-2180 | 2020-08-14 |
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1629693502 | Laura Rose Murray | Physician Assistant | 330 Julia St Apt 308, New Orleans, LA 70130-3682 | 2020-06-16 |
| 1639793714 | Lillian Madin | Physician Assistant | 3312 Dumaine St, New Orleans, LA 70119-3911 | 2020-06-03 |
| 1043832579 | Sarah Hassien Daigle | Physician Assistant | 324 Madison Crossing Dr, Sulphur, LA 70665-8791 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | BARKSDALE AFB |
| Zip Code | 71110 |
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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.