KEVIN E DOUGHERTY (NPI# 1922186998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922186998 |
| Entity Type | Individual |
| Full Name | KEVIN E DOUGHERTY |
| Credential | M.D. |
| Practice Address |
3100 Blue Ridge Rd Ste. 300 Raleigh NC 27612-8036 |
| Practice Telephone | 9197817500 |
| Practice Fax Number | 9196453440 |
| Mailing Telephone | 9197817500 |
| Mailing Fax Number | 9196453440 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 32489 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578717211 | Kevin Michael Dougherty | Social Worker | 303 S Broadway Ste 200-135, Denver, CO 80209-1558 | 2008-11-07 |
| 1730200635 | Kevin Richard Dougherty | Psychologist | 1910 Wabash Ave, Linwood, NJ 08221-1451 | 2007-04-02 |
| 1407997257 | Kevin Dougherty | Chiropractor | 609 Houle Dr, Billings, MT 59102-4862 | 2007-02-12 |
| 1376944389 | Kevin Patrick Dougherty | Physical Therapist | 1991 Fordham Dr, Fayetteville, NC 28304-3773 | 2014-09-09 |
| 1922412279 | Kevin S. Dougherty | Emergency Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2014-06-15 |
| 1114188711 | Kevin Russell Dougherty | Internal Medicine | 85 Seymour St, Suite 719, Hartford, CT 06106-5501 | 2008-06-17 |
| 1598988842 | Kevin Paul Dougherty | Dentist | 475 Shunpike Rd, Chatham, NJ 07928-1528 | 2007-04-11 |
| Street Address |
3100 BLUE RIDGE RD STE. 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968775 | Seth A Kaplan | Internal Medicine | 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 | 2005-08-09 |
| 1659884062 | Ryan Zachary Johnson | Physician Assistant | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2017-11-07 |
| 1639695711 | Erin N Wyant | Physical Therapist | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2017-08-21 |
| 1013370527 | Becky Moore | Physician Assistant | 3100 Blue Ridge Rd, #103, Raleigh, NC 27612-8036 | 2016-04-01 |
| 1639519846 | Kaitlin Slone | Dietitian, Registered | 3100 Blue Ridge Rd, Ste 300, Raleigh, NC 27612-8002 | 2013-07-02 |
| 1841633856 | Elise Rachelle Bunn | Physician Assistant | 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 | 2013-04-09 |
| 1851674717 | Matthew Schwanke | Physician Assistant | 3100 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8036 | 2011-09-27 |
| 1699003509 | Angela Hira | Internal Medicine | 3100 Blue Ridge Rd, 3000, Raleigh, NC 27612-8036 | 2009-12-04 |
| 1508008574 | Matthew G Kanaan | Family Medicine | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2009-04-06 |
| 1437317419 | Bushra Mastoor | Internal Medicine | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1255825840 | Frederick Joseph Derosier | Internal Medicine | 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 | 2018-06-18 |
| 1023518412 | Neijia Grissom | Internal Medicine | 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 | 2018-02-13 |
| 1326406703 | Andrew Ubert Schindzielorz | Internal Medicine | 5300 Huntingwood Dr, Raleigh, NC 27606-9642 | 2016-02-01 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1659775831 | Caremore Health Nc, PC | Internal Medicine | 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 | 2014-10-16 |
| 1295147577 | Courtney Barrett | Internal Medicine | 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 | 2014-05-21 |
| 1821357815 | Vanitha Gopal | Internal Medicine | 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 | 2012-05-10 |
| 1093072498 | The Carter Clinic,pa | Internal Medicine | 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 | 2012-04-23 |
| 1497025076 | George Stueard Nettles Sr. | Internal Medicine | 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 | 2012-01-12 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on KEVIN E DOUGHERTY.
| 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.