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

Michael D Dougherty, PA

Individual provider Physician Assistant · NPI 1932186210

Michael D Dougherty, PA is a Physician Assistant in Fort Atkinson, Wisconsin. Qualified in 1995, 31 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone: (920) 568-5330
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 848-023 (WI)

Record details

NPI number1932186210
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address6400 Industrial Loop, Greendale, WI 53129-2452

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Atkinson