Laura Waikart Dougherty, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

28749 Issued in SC

Practice address

103 Midlands CT
West Columbia, SC 29169-3456

Phone

(803) 794-3581

Fax

(803) 791-7286

NPI assigned

Jun 4, 2006

Sex

Female

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

Other names 1

• Laura Lee Waikart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1881632289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2137",
            "city": "SKYLAND",
            "state": "NC",
            "postal_code": "287762137",
            "telephone_number": "828-575-2644",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MIDLANDS CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693456",
            "telephone_number": "803-794-3581",
            "fax_number": "803-791-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "LAURA",
        "middle_name": "WAIKART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "28749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA16666874",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE #",
            "identifier": "TL28749",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WAIKART",
            "middle_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorsi Medical
• Mary Regina Dortenzo, RN-ANP
• Ashley Kuklentz Doscher, M.D.
• Jennifer Dotson
• Devin Dotter
• Destiny Faith Douglas
• Hannah Douglas
• Angelina Dow, APRN
• Ashley Michelle Dowling
• Dr. George H. Fann, D.M.D., P.a.

• Allergy & Immunology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Allergy & Immunology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.