Christopher R. Dougherty, AA
Anesthesiologist Assistant · Fort Wayne, IN
Practice location
11141 Parkview Plaza Dr Ste 200Fort Wayne, IN 46845-1714
- Phone
- (260) 425-6030
- Fax
- (260) 425-6028
NPI record
- NPI
- 1720336548
- Entity type
- Individual (Type 1)
- Enumeration date
- August 28, 2012
- Last updated
- July 15, 2024
- Certified
- July 15, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X |
75000180A | IN |
| Anesthesiologist Assistant | 367H00000X |
2012029911 | MO |
Mailing address
PO Box 2580Springfield, MO 65801-2580
- Phone
- (417) 829-4620
Other practice locations (1)
- 1235 E Cherokee St, Springfield, MO 65804-2203 · (417) 820-2829
About Christopher Dougherty
Christopher R. Dougherty, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714. The NPI number 1720336548 was assigned on August 28, 2012 and the record was last updated on July 15, 2024.
Christopher Dougherty lists 2 licenses in the registry: #75000180A (IN) for Anesthesiologist Assistant; #2012029911 (MO) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Christopher R. Dougherty, AA?
The NPI number is 1720336548.
What is the phone number of Christopher Dougherty?
The phone number listed for the practice location is (260) 425-6030.
Where is Christopher Dougherty located?
11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714.
What is the taxonomy code for Christopher Dougherty?
The primary taxonomy code is 367H00000X – Anesthesiologist Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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