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

Christopher R Dougherty, AA

Individual provider Anesthesiologist Assistant · NPI 1720336548

Christopher R Dougherty, AA is an Anesthesiology Assistant in Fort Wayne, Indiana. Graduated from Emory University School of Medicine in 2012, 14 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Missouri.

Years since qualifying
14
Trained at
Emory University School of Medicine
Licensed in
IN, MO
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1235 E Cherokee St, Springfield, MO 65804-2203 — (417) 820-2829

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000180A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 2012029911 (MO)

Record details

NPI number1720336548
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 28, 2012
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing addressPo Box 2580, Springfield, MO 65801-2580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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