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RAY SCOTT DAUGHERTY MD NPI 1144544164


NPI Information

NPI: 1144544164
Provider Name: RAY SCOTT DAUGHERTY, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1211 UNION AVE
SUITE 300
MEMPHIS, TN
ZIP 38104
Phone: (901) 609-3525
Get Directions

Ray Scott Daugherty, MD is a colon rectal surgery in Memphis, TN with 14 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Ray Scott Daugherty, MD NPI is 1144544164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2010

The provider's business location address is:

1211 UNION AVE
SUITE 300
MEMPHIS, TN
ZIP 38104-638
Phone: (901) 609-3525
Fax: (901) 266-6415

The NPI 1144544164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2010 and was last updated on 4/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery54562TENNESSEENo
2208600000XSurgery205766LOUISIANANo
3208C00000XColon & Rectal Surgery205766LOUISIANAYes
4208C00000XColon & Rectal Surgery54562TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16082717OTHERTENNESSEEBCBS
2Q023627MEDICAIDTENNESSEE
308603276MEDICAIDMISSISSIPPI
4216071001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.