JOHN CLARK DAUGHERTY MD
NPI 1255072914
General Practice in Cincinnati, OH

Q: What is John Daugherty's NPI number?

The NPI number for John Daugherty is 1255072914. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is John Daugherty's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for John Daugherty was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2022PECOS Enrolled

4777 E GALBRAITH RD, CINCINNATI, OH 45236(513) 686-5446(513) 686-6868 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About John Clark Daugherty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN CLARK DAUGHERTY MD (NPI 1255072914) is an individual general practice provider in Cincinnati, Ohio, licensed in Ohio (35.149045) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255072914

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJOHN CLARK DAUGHERTYCredential: MD

Location Address4777 E GALBRAITH RDCincinnati, OH 45236-2725

Mailing Address5450 Windridge CtColumbia Township, OH 45243-2967

Phone(513) 686-5446

Fax(513) 686-6868

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 6, 2022

Last NPPES UpdateSeptember 29, 2023

NPPES CertifiedSeptember 29, 2023

✔ NPI 1255072914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 35.149045

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4777 E GALBRAITH RD, Cincinnati, OH 45236

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Clark Daugherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799149001

PECOS Enrollment IDI20260407003368, I20260424002970

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEWISH HOSPITAL LLC

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