Organization Active NPI

Daugherty Medical Group, PLLC

  • Internal Medicine Physician
  • Covington, KY
National Provider Identifier
1053617423
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22022 Issued in KY
Legal business name
DAUGHERTY MEDICAL GROUP, PLLC
Practice address
806 Scott St
Covington, KY 41011-2420
Phone
(859) 371-2600
Fax
(859) 372-5923
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph F Daugherty III, M.D.
Title
Organizer
Phone
(859) 371-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22022 KY Primary

Addresses

Primary practice location

806 Scott St
Covington, KY 41011-2420

Mailing address

806 Scott St
Covington, KY 41011-2420
Phone (859) 371-2600

National Provider Directory

National Provider Directory

Locations

806 Scott St
Covington, KY 41011
Phone (859) 360-7061

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1053617423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112420",
            "telephone_number": "859-371-2600",
            "fax_number": "859-372-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112420",
            "telephone_number": "859-371-2600",
            "fax_number": "859-372-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHERTY MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "859-371-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.