person
Mitchell Daugherty
Family Medicine Physician in South Bend, Indiana
NPI 1417481540

Mitchell Daugherty is a Family Medicine Physician based in South Bend, IN. Mitchell Daugherty practices in South Bend, IN. The NPI Number for Mitchell Daugherty is 1417481540 and holds a License No. 01082368A (Indiana).

The current practice location address for Mitchell Daugherty is 111 W Jefferson Blvd Ste 100, South Bend, IN and can be reached out via phone at 574-647-1670 and via fax at 574-647-6927. You can also correspond with Mitchell Daugherty through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 111 W Jefferson Blvd Ste 100, South Bend, IN, 46617-1924
person
Provider Profile Details
NPI Number
1417481540
Provider Name
Mitchell Daugherty
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 W Jefferson Blvd Ste 100, South Bend, IN, 46617-1924
Phone Number
574-647-1670
Fax Number
574-647-6927
Provider Enumeration Date
04/14/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
236040377 01 IN MEDICARE PTAN
261970152 01 IN MEDICARE PTAN
300003172 05 IN
institution
Provider Business Practice Location Address Details
Address
111 W Jefferson Blvd Ste 100
City
State
Zip
46601-1993
Phone Number
574-647-1670
Fax Number
574-647-6927
person
Provider Business Mailing Address Details
Address
111 W Jefferson Blvd Ste 100
City
State
Zip
46601-1993
Phone Number
574-647-1670
Fax Number
574-647-6927
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
01082368A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
License No.
01082368A (Indiana)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in South Bend, Indiana: