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

Dr. Philip John Dougherty, MD

Individual provider Diagnostic Radiology Physician · NPI 1750647913

Dr. Philip John Dougherty, MD is a Diagnostic Radiology in Coeur D Alene, Idaho. Qualified in 2012, 14 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone: (208) 625-6300
Fax: (208) 625-6301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-6360
  • 3815 N Schreiber Way Unit 101, Coeur D Alene, ID 83815-8434 — (208) 755-2804
  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 784-1221

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M-14068 (ID)

Record details

NPI number1750647913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2012
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Coeur D Alene