Richard E Daugherty (NPI# 1760426878, PAC ID# 4688640105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760426878 |
| PAC ID by PECOS | 4688640105 |
| Professional Enrollment ID | I20040907000828 |
| Full Name | Richard E Daugherty |
| Organization Legal Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Address |
1016 E Main Linn MO 65051-9782 |
| Phone Number | 5738974946 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062456015 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260047 | CAPITAL REGION MEDICAL CENTER |
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| Address | Phone | Organization |
|---|---|---|
| 1511 Christy Dr, Jefferson City, MO 65101-2854 | 5736322777 | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| 1016 E Main, Linn, MO 65051-9782 | 5738974946 | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Organization Legal Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Luetkemeyer | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Crystal L Cook | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| April L Miller | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Jamie Brianne Luetkemeyer | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Monica L Biddle | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Crystal L Sullivan | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Megan C King | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Sheryl Cade | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Daniel L Gibson | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Angela Breckenridge | Obstetrics/gynecology | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Street Address |
1016 E MAIN |
| City | LINN |
| State | MO |
| Zip | 65051-9782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Steenbergen | Family Medicine | Jefferson City Medical Group PC | 1306 E Main St, Linn, MO 65051-2503 |
| Nathan E Byam | Family Practice | Jefferson City Medical Group, PC | 1306 E Main, Family Care Clinic, Linn, MO 65051-9708 |
| Michelle R Barg | Family Medicine | Capital Region Medical Center | 916 E Main St, Capital Region Physicians, Linn, MO 65051-9780 |
| Amber Backes | Nurse Practitioner | Capital Region Medical Center | 916 E Main St, Capital Region Physicians, Linn, MO 65051-9780 |
| Shawn K Elliott | Chiropractic | 1016 E Main St, Linn, MO 65051-9782 |
| City | LINN |
| Zip Code | 65051 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LINN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard E Daugherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.