Daugherty Medical Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35039319 Issued in OH

Legal business name

DAUGHERTY MEDICAL GROUP PLLC

Practice address

9200 Montgomery Rd Suite 18a
Montgomery, OH 45242

Phone

(859) 371-2600

Fax

(859) 372-5923

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

Joseph F Daugherty III, MD

Title

President

Phone

(859) 371-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjay J Patil, M.D.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1417950510
  NPD (past)
• Ronald Clay Bibb Jr., M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1568615847

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1669854725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD SUITE 18A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "859-371-2600",
            "fax_number": "859-372-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD SUITE 18A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "859-371-2600",
            "fax_number": "859-372-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHERTY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-371-2600",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35039319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy A Crawford
• Creative Wellness Collective, LLC (Creative Wellness Massage)
• Cross County Chiropractic, Inc.
• Tiffany Curington
• Dalton S. Hampton, DMD, LLC
• Dbu Counseling Services, LLC
• Paige Ann Heimann De Buys, MD
• John Decristofaro, PHARMD
• Megan Elizabeth Dehart, WHNP -BC, PMHNP-BC
• Stephan Dehmel, MD

• Internal Medicine Physician in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.