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

Dr. Jacob Randall Dougherty, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1326577859

Dr. Jacob Randall Dougherty, DPM is a Foot & Ankle Surgery Podiatrist in Cleveland, Ohio. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

10701 E Blvd
Cleveland, OH 44106-1702
Phone: (216) 791-3800
Fax: (216) 421-3038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO4179 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1326577859
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESJuly 21, 2022
Certification dateMay 21, 2020
Mailing address730 Goodlette Rd N, Ste 102, Naples, FL 34102-5617

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