Active NPI
Frank Joseph Daugherty, M.D.
- Research Study Specialist
- Omaha, NE
National Provider Identifier
1891094389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- License
- 13254
- Practice address
- 10308 Rockbrook Rd
Omaha, NE 68124-1853 - Phone
- (402) 681-4747
- Fax
- (402) 393-2521
- NPI assigned
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | 13254 | NE | Primary |
Addresses
Primary practice location
10308 Rockbrook Rd
Omaha, NE 68124-1853
Mailing address
10308 Rockbrook Rd
Omaha, NE 68124-1853
Phone (402) 681-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13254 | NE | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1891094389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10308 ROCKBROOK RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241853",
"telephone_number": "402-681-4747",
"fax_number": "402-393-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10308 ROCKBROOK RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241853",
"telephone_number": "402-681-4747",
"fax_number": "402-393-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "FRANK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "NE",
"license": "13254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.