Individual provider · Type 1 NPI

Shane Alan Daugherty

Urology Physician · Meadville, PA

NPI number 1154902096 Active

Practice location

765 Liberty St Ste 207A
Meadville, PA 16335-2568

Fax (814) 373-2159

Mailing address

1034 Grove St
Meadville, PA 16335-2945

Other practice locations

  • 4160 John R St Ste 1017, Detroit, MI 48201-2017 · (313) 745-4123

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XOS026090 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3 other providers at this address

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About NPI 1154902096

Shane Alan Daugherty's National Provider Identifier is 1154902096, issued on Apr 20, 2021. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Meadville, PA. The record was last updated on Jun 30, 2026.