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

Michael R Dougherty, DO

Individual provider Anesthesiology Physician · NPI 1538443908

Michael R Dougherty, DO is an Anesthesiology in Philadelphia, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with Methodist Associates in Healthcare, Inc, a 391-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NJ, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 S 11th St Ste 8290
Philadelphia, PA 19107-4824
Phone: (215) 955-2370
Fax: (215) 955-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 — (856) 582-2500

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence OS024650 (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 25MB12845000 (NJ)

Record details

NPI number1538443908
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 4, 2011
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice Methodist Associates In Healthcare, Inc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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