Timothy Daugherty, M.D.
Plastic and Reconstructive Surgery Physician · Springfield, IL
Practice location
747 N Rutledge St Fl 3Springfield, IL 62702-6700
- Phone
- (217) 545-8000
- Fax
- (217) 545-2588
NPI record
- NPI
- 1780066738
- Entity type
- Individual (Type 1)
- Enumeration date
- June 26, 2015
- Last updated
- January 29, 2024
- Certified
- January 29, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X |
036.160543 | IL |
| Plastic and Reconstructive Surgery Physician | 2086S0122X |
125.066594 | IL |
Mailing address
PO Box 19639Springfield, IL 62794-9639
- Phone
- (217) 545-8000
Other practice locations (1)
- 747 N Rutledge St Fl 2, Springfield, IL 62702-6700 · (217) 545-8000
About Dr. Daugherty
Timothy Daugherty, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 747 N Rutledge St Fl 3, Springfield, IL 62702-6700. The NPI number 1780066738 was assigned on June 26, 2015 and the record was last updated on January 29, 2024.
Dr. Daugherty lists 2 licenses in the registry: #036.160543 (IL) for Plastic and Reconstructive Surgery Physician; #125.066594 (IL) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Timothy Daugherty, M.D.?
The NPI number is 1780066738.
What is the phone number of Dr. Daugherty?
The phone number listed for the practice location is (217) 545-8000.
Where is Dr. Daugherty located?
747 N Rutledge St Fl 3, Springfield, IL 62702-6700.
What is the taxonomy code for Dr. Daugherty?
The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Plastic and Reconstructive Surgery Physician providers in Springfield
- Abigail Maciolek Cochran, M.D.2901 Greenbriar Dr
- Brian A. Mailey, M.D.747 N Rutledge St
- Justin Davis747 N Rutledge St
- Joel Wietfeldt, MD2901 Greenbriar Dr
- Nicole Z. Sommer, M.D.747 N Rutledge St
- Erika Henkelman, MD747 N Rutledge St
- Robert C. Russell, M.D.320 E Carpenter St
- James Winters, M.D.747 N Rutledge St
All Plastic and Reconstructive Surgery Physician providers in Springfield, IL →