Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Connor Patrick Doherty, PA-C, ATC

Individual provider Athletic Trainer · NPI 1831735851

Connor Patrick Doherty, PA-C, ATC is a Physician Assistant in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Open Door Health Services Inc, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
2
Licensed in
IL, IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone: (317) 291-7422
Fax: (317) 291-7433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5750 W 56th St, Indianapolis, IN 46254-1695 — (317) 291-7422
  • 333 S Madison St, Muncie, IN 47305-2465 — (765) 287-3087

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004557A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence 096004117 (IL)

Record details

NPI number1831735851
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3400 Lafayette Rd Ste 200, Indianapolis, IN 46222-1147

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Open Door Health Services Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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