Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER R DOUGHERTY, AA
ActiveAnesthesiologist Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1720336548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2012 (13.646436925784 yrs)
- Last Updated
- Jul 15, 2024
- Licenses
-
2012029911 (MO)75000180A (IN)
Practice Information
- Address
-
11141 PARKVIEW PLAZA DR STE 200FORT WAYNE, IN, 468451714Browse IN providers · Browse ZIP 46845
- Phone
- 2604256030
- Fax
- 2604256028
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
- Additional Specialty
- Anesthesiologist Assistant
Other Anesthesiologist Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| JOHN WESLEY FARVER | AA-C | 1356624803 |
| RYAN SHANE TIGHE | — | 1366952095 |
| ZACHARY E DILLON | — | 1689178253 |
| MR. TAYLOR PADEN | AA-S | 1902394836 |
| STORM BRADLEY VAUGHN | AA | 1780179333 |
| SEBAH ABDULAZIZ | — | 1245726645 |
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.