Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Daugherty, MD

Individual provider General Practice Physician · NPI 1538583703

Andrew Daugherty, MD is a Dermatology in Livonia, Michigan. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Virginia.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
MI, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

37605 Pembroke Ave
Livonia, MI 48152-1050
Phone: (734) 591-7931
Fax: (734) 464-0335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6888 Grand River Rd, Brighton, MI 48114-9345 — (810) 220-4422
  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 — (757) 953-0669

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301506177 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 0101258945 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538583703
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2014
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing address620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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