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

John Clark Daugherty, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255072914

John Clark Daugherty, MD is a General Practice in Cincinnati, Ohio. Qualified in 2022, 4 years ago. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2
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

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone: (513) 686-5446
Fax: (513) 686-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 35.149045 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255072914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing address5450 Windridge Ct, Columbia Township, OH 45243-2967

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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