Active NPI
Donald Daugherty, M.D.
- Family Medicine Physician
- Dallastown, PA
National Provider Identifier
1235573429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD031667-E
- Practice address
- 170 Susan Dr
Dallastown, PA 17313-1708 - Phone
- (717) 246-0545
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD031667-E | PA | Primary |
Addresses
Primary practice location
170 Susan Dr
Dallastown, PA 17313-1708
Mailing address
170 Susan Dr
Dallastown, PA 17313-1708
Phone (717) 246-0545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD031667-E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD at Home, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1235573429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 SUSAN DR",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173131708",
"telephone_number": "717-246-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 SUSAN DR",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173131708",
"telephone_number": "717-246-0545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "DONALD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD031667-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallastown, PA
- Jessica Anne Crutcher, COTA/L
- Dallastown Area School District
- Dallastown Medical Associates
- Dallastown Medical Associates LLP
- Dallastown Operating Inc (Dallastown Nursing Center)
- Michael J Dobish, MD
- Denise Rhonel Druck, OTR/L
- Daniel Stephen Eckert, DO
- Kayla Ehrnfeldt, CRNP
- Andrea Theresa Enterline, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.