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Search › Pennsylvania › 208800000X

Shane Daugherty

NPI 1154902096 · on the registry since 2021 · sole proprietor

Practice

Address
765 Liberty St Ste 207a
Meadville, PA 16335
Phone
(814) 373-2156
Fax
(814) 373-2159
Organisation at this address
Meadville Pediatrics, Pc
Meadville Medical Center
Meadville Medical Center
Meadville Medical Center
Meadville Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Additional practice sites

  • 4160 John R St Ste 1017, Detroit, MI

Registry record

Primary taxonomy
208800000X
208800000X
Also registered as
390200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania