Shane Daugherty

Individual Active
NPI 1154902096
Urology Physician Meadville, PA

NPI 1154902096 belongs to Shane Daugherty, an urology physician with a practice location in Meadville, PA. The NPI was issued on April 20, 2021, and the record was last updated in NPPES on June 30, 2026. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X OS026090 (PA)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice locations

765 Liberty St Ste 207A
Meadville, PA 16335-2568
Phone: (814) 373-2156
4160 John R St Ste 1017
Detroit, MI 48201-2017
Phone: (313) 745-4123

Local context

Active NPPES records list 14 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 6 of them within 10 miles.

The same primary taxonomy is listed by 901 in Pennsylvania and 19,364 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shane Alan Daugherty
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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