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

Individual provider Physician Assistant · NPI 1124844857

Sean Doherty, PA-C is a Physician Assistant in Red Wing, Minnesota. Qualified in 2024, 2 years ago. Practices with Mayo Clinic Health System-Southeast Minnesota Region, a 561-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone: (651) 267-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1380 Corporate Center Curv Ste 305, Eagan, MN 55121-1200 — (440) 600-8983

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15166 (MN)

Record details

NPI number1124844857
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

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 Mayo Clinic Health System-Southeast Minnesota Region — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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