Mitchell Daugherty

Individual Active
NPI 1417481540
Sports Medicine (Family Medicine) Physician South Bend, IN

NPI 1417481540 belongs to Mitchell Daugherty, a sports medicine (family medicine) physician with a practice location in South Bend, IN. The NPI was issued on April 14, 2017, and the record was last updated in NPPES on June 20, 2025. The record lists 2 taxonomy codes. 4 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X 01082368A (IN)
Family Medicine Physician 207Q00000X 01082368A (IN)

Practice locations

1815 E Ireland Rd
South Bend, IN 46614-2845
Phone: (574) 647-1700
900 I St
LA Porte, IN 46350-5533
Phone: (219) 324-1700
100 Navarre Pl Ste 4440
South Bend, IN 46601-1171
Phone: (574) 647-5300
111 W Jefferson Blvd Ste 100
South Bend, IN 46601-1993
Phone: (574) 647-1670
714 N Michigan St
South Bend, IN 46601-1035
Phone: (574) 647-7477

Local context

Active NPPES records list 14 providers with sports medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 11 of them within 10 miles.

The same primary taxonomy is listed by 90 in Indiana and 3,425 nationwide.

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

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Nearby providers with the same primary taxonomy

Record history

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

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NPPES data as of · Source: CMS NPPES

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