Thomas Michael Dougherty Jr.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME173633 Issued in FL

Practice address

708 Del Prado Blvd S Ste 6
Cape Coral, FL 33990-2661

Phone

(239) 424-2755

Fax

(239) 424-2756

NPI assigned

Mar 26, 2020

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas Dougherty MD LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1558252247
  NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1356978449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-2755",
            "fax_number": "239-424-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD S STE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902661",
            "telephone_number": "239-424-2755",
            "fax_number": "239-424-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 W Fig St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092317",
            "country_code": "US",
            "telephone_number": "239-247-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "173633",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME173633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta Marie Dorisca, LCSW
• Valerie Dornema, APRN
• Harry Thomas Dorsey, H.A.S
• Adrian Dorta Rodriguez
• Keren Rocio Dosaguez Plasencia
• Timothy Dougherty
• Edwin Douglass IV, COTA/L
• Dove Behavioral Health LLC
• Ashley Dowell, MOT OTR/L
• Hannah M Dowling, ARNP

• Surgery Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.

Verify at the official NPI Registry.