IndividualActive
David Daugherty, PA-C
NPI 1689648214 · Surgical Physician Assistant · Fort Wayne, IN
Provider details
- NPI number
- 1689648214
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 50-002861 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 436-8585
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2526
Fort Wayne, IN 46801-2526
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.