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

Michael Robert Daugherty, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962849885

Michael Robert Daugherty, MD is an Urology in Cincinnati, Ohio. Graduated from State University of Ny Upstate Medical University in 2013, 13 years ago. Practices with Children's Hospital Medical Center, a 716-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Trained at
State University of Ny Upstate Medical University
Licensed in
OH
In the registry since
2013
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

3333 Burnet Ave Ml 5037
Cincinnati, OH 45229-3026
Phone: (513) 636-4975
Fax: (513) 636-6753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2342 — (315) 464-1507

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 35.133607 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962849885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2013
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address3333 Burnet Ave, Ml 5037, Cincinnati, OH 45229-3026

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Children'S Hospital Medical Center — 716 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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