Thomas Dougherty

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Practice address

12605 East Fwy
Houston, TX 77015-5625

Phone

(281) 772-8557

NPI assigned

Nov 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Innerwisdom

  • Health Maintenance Organization
  • Houston, TX
  • NPI 1528493707
  NPD
• Innerwisdom Inc.

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1255379202
  NPD

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1497056873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155625",
            "telephone_number": "281-772-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Doubleday, MD
• Harold James Doucet, PHARMD
• Anne H Dougherty, M.D.
• Carlin Marguerite Dougherty, LPC-A
• Katherine Anne Dougherty, PTA
• Kathleen Doughtie, APN
• Adrien Doughty, LCSW
• Cara Doughty, MD
• Douglas a. Terry, DDS, Inc
• Douglas Home Care

• Research Study Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Research Study Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.