NPIMap

Individual provider Active NPI

Larry Calvin Daugherty, M.D.

  • Radiation Oncology Physician
  • Anchorage, AK
National Provider Identifier
1407011208
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
8330 Issued in AK
Practice address
188 W Northern Lights Blvd Ste 100
Anchorage, AK 99503-3902
Phone
(907) 276-2803
NPI assigned
Jul 22, 2008
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MT193247 PA
Radiation Oncology Physician 2085R0001X ME112529 FL
Radiation Oncology Physician 2085R0001X 8330 AK Primary

Addresses

Primary practice location

188 W Northern Lights Blvd Ste 100
Anchorage, AK 99503-3902

Mailing address

188 W Northern Lights Blvd Ste 800
Anchorage, AK 99503-3984
Phone (907) 276-2803

Other identifiers 1

IdentifierTypeStateIssuer
006593600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924002273 AK Practitioner - Radiation Oncology 5991954570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Utah School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RBS Evolution of Juneau LLCGroup PAC ID 7315173358, 2 clinicians
RBS Evolution of Alaska LLCGroup PAC ID 3274777974, 10 clinicians

Practice addresses (Care Compare)

1701 Salmon Creek LN
Juneau, AK 99801-7868
Phone (907) 586-7762

188 W Northern Lights Blvd
Suite 100
Anchorage, AK 99503-3902
Phone (907) 562-2002

2250 S Woodworth Loop
Suite 100
Palmer, AK 99645-7457
Phone (907) 707-1333

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 262-7762

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT193247PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RBS Evolution of Alaska LLC Radiation Oncology CurrentSince Jul 1, 2023 Accepting new patients
RBS Evolution of Juneau LLC Radiation Oncology CurrentSince Dec 5, 2025 Accepting new patients
RBS Evolution of Alaska LLC Radiation Oncology PastSince Dec 7, 2025 Accepting new patients

Locations

188 W Northern Lights Blvd
Ste 100
Anchorage, AK 99503
Phone (907) 276-2803

188 W Northern Lights Blvd
Ste 8
Anchorage, AK 99503
Phone (907) 276-2803

3851 Piper St
Ste LL2
Anchorage, AK 99508
Phone (907) 212-3186

1701 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 586-5762

2250 S Woodworth Loop
Ste 100
Palmer, AK 99645
Phone (907) 707-1333

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

Organizations & group practices 3

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1407011208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033984",
            "telephone_number": "907-276-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033902",
            "telephone_number": "907-276-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "LARRY",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT193247",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME112529",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AK",
            "license": "8330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006593600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.