Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL DAUGHERTY
ActiveMITCHELL DAUGHERTY is a Sports Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1417481540 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SOUTH BEND, IN
Registration Details
- NPI Number
- 1417481540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2017 (9.2910564022618 yrs)
- Last Updated
- Jun 20, 2025
- Licenses
-
01082368A (IN)01082368A (IN)
Practice Information
- Address
-
1815 E IRELAND RDSOUTH BEND, IN, 466142845Browse IN providers · Browse ZIP 46614
- Phone
- 5746471700
- Fax
- 5746477572
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| LINDA A MANSFIELD | MD | 1629075957 |
| DR. KEVIN JEREMY MCAWARD | M.D. | 1356332977 |
| JENNIFER A BRAKE | MD | 1093726713 |
| HEATHER SAFFEL | MD | 1700231313 |
| DR. CODY LANE WARD | MD | 1316501257 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.