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DR. ROBERT MICHAEL DAUGHERTY DPM NPI 1427025311


NPI Information

NPI: 1427025311
Provider Name: DR. ROBERT MICHAEL DAUGHERTY, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1854 BROADWAY ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 271-2923
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DR. Robert Michael Daugherty, DPM is a foot and ankle surgery podiatrist in Cape Girardeau, MO with 22 years of experience. DR. Robert Michael Daugherty, DPM NPI is 1427025311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1854 BROADWAY ST
CAPE GIRARDEAU, MO
ZIP 63701-553
Phone: (573) 271-2923
Fax: (888) 523-2655

The NPI 1427025311 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 3/1/2006 and was last updated on 11/15/2022.


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
1213E00000XPodiatristPO4199FLORIDANo
2213ES0103XPodiatristFoot & Ankle Surgery016005170ILLINOISNo
3213ES0103XPodiatristFoot & Ankle Surgery250ARKANSASNo
4213ES0103XPodiatristFoot & Ankle Surgery2004013247MISSOURIYes

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
1016005170MEDICAIDILLINOIS
22474055OTHERMISSOURIUNITEDHEALTHCARE
3307288514MEDICAIDMISSOURI
45621628OTHERMISSOURIFIRST HEALTH
5197250OTHERMISSOURIBLUE CROSS BLUE SHEILD
6706133OTHERMISSOURIHEALTHLINK
7307288506MEDICAIDMISSOURI

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.