Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew T Doherty, PA-C

Individual provider Physician Assistant · NPI 1962716456

Andrew T Doherty, PA-C is a Physician Assistant in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3475 S Alpine Rd
Rockford, IL 61109-2604
Phone: (815) 874-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.003763 (IL)

Record details

NPI number1962716456
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESApril 4, 2016

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