MR. JOHN RANKIN DOUGHERTY
NPI 1083552137
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since March 23, 2026PECOS Enrolled
955 MAIN ST, BUFFALO, NY 14203(716) 829-2802 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Rankin Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN RANKIN DOUGHERTY (NPI 1083552137) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083552137
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JOHN RANKIN DOUGHERTY
Location Address955 MAIN STBuffalo, NY 14203-1121
Mailing Address955 Main StBuffalo, NY 14203-1121
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1083552137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
955 MAIN ST, Buffalo, NY 14203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. John Rankin Dougherty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST, ATTN: JEFF ZHANG
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Dougherty's NPI number?

The NPI number for John Dougherty is 1083552137. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is John Dougherty located?

John Dougherty practices at 955 Main St, Buffalo, NY 14203. The listed phone number is (716) 829-2802.

What is John Dougherty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Dougherty enrolled in Medicare?

Yes. John Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Dougherty was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.