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

Dr. Thomas M Dougherty, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1952403651

Dr. Thomas M Dougherty, MD is a Sports Medicine (Family Medicine) Physician in Saint Louis, Missouri. Licensed in Missouri and Wisconsin. Registered with an NPI since 2006.

Licensed in
MO, WI
In the registry since
2006
Specialties on file
5
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

1019 Skinker Pkwy 156
Saint Louis, MO 63112-2355
Phone: (678) 793-7963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2009024720 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 29906 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 29906 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29906 (WI)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2009024720 (MO)

Record details

NPI number1952403651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESSeptember 4, 2014

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