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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONNOR PATRICK DOHERTY, PA-C, ATC

Active

CONNOR PATRICK DOHERTY, PA-C, ATC is a Physician Assistant healthcare provider located in INDIANAPOLIS, Indiana. NPI 1831735851 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · INDIANAPOLIS, IN

Registration Details

NPI Number
1831735851
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2019 (6.7509551908996 yrs)
Last Updated
Feb 11, 2026
License
096004117 (IL)

Practice Information

Address
5750 W 56TH ST
INDIANAPOLIS, IN, 462541695
Browse IN providers · Browse ZIP 46254
Phone
3172917422
Fax
3172917433
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in INDIANAPOLIS, IN

Name Credential NPI
DONALD G MUNSON PA 1902898901
ANDREW FREDERICK SHAAR PA-C 1659364792
MR. TIMOTHY BARNARD PA-C 1427044056
LAURA E BUENING PA-C 1972586485
MS. CHRISTINA RACE PA-C 1003895400
JILL M ELEFTHERI PA-C 1467431643
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.