Shane Alan Daugherty
Shane Alan Daugherty is an Urology in Meadville, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.
- Years since qualifying
- 5
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- PA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
765 Liberty St Ste 207AMeadville, PA 16335-2568
Phone: (814) 373-2156
Fax: (814) 373-2159
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4160 John R St Ste 1017, Detroit, MI 48201-2017 — (313) 745-4123
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence OS026090 (PA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1154902096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2021 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
| Mailing address | 1034 Grove St, Meadville, PA 16335-2945 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Meadville
-
Danilo L Guanzon M D Inc
764 Kennedy St, Meadville, PA 16335-2209 · (814) 724-5900
-
Michael Martynik, MD
765 Liberty St Ste 207, Meadville, PA 16335-2568 · (814) 373-2156
-
Meadville Medical Center
765 Liberty St Ste 207A, Meadville, PA 16335 · (814) 373-2156
-
Mandeep Singh, MD
505 Poplar St Ste 209, Meadville, PA 16335-3057 · (814) 373-2156