Manuel Preston Daugherty, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3645 Issued in AL

Practice address

1601 Center St
Ste 3N
Mobile, AL 36604-1512

Phone

(251) 665-8200

Fax

(251) 665-8210

NPI assigned

Jul 28, 2005

Last updated

Feb 21, 2017By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812
  NPD
• USA Health Physician Billing Services LLC

  dba USA Mitchell Cancer Institute

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508
  NPD
• Coastal Anesthesia, P.C.

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1588637169
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1629078084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-665-8200",
            "fax_number": "251-665-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CENTER ST",
            "address_2": "STE 3N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041512",
            "telephone_number": "251-665-8200",
            "fax_number": "251-665-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "MANUEL",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200046072",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053083",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rakesh Kumar Das
• Amber Datta, DO
• Kelly Vincent Dauenheimer, CRNP
• Daugette Family Health Services, LLC
• Geoffrey Wayne Daugherty, M.D.
• Sarrah Ann Daugherty, DMD
• Cody Daum, MD
• Kent M Daum, O.D.
• Dauphin Optical
• David Formwalt, Psy.D., LLC

• Orthopaedic Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.