1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile

CHARLES DOUGHERTY M.D.
NPI 1134100100
Pediatrics in Saint Louis, MO

Active since November 08, 2005
13303 TESSON FERRY RD, SAINT LOUIS, MO 63128(314) 842-5239(314) 842-3835 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Dougherty M.d. NPPES

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

CHARLES DOUGHERTY M.D. (NPI 1134100100) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (R6070) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1134100100
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCHARLES DOUGHERTYCredential: M.D.
Location Address13303 TESSON FERRY RDSaint Louis, MO 63128-4062
Mailing AddressPo Box 23340Saint Louis, MO 63156-3340 · (314) 842-5239 · Fax (314) 842-3835
Phone(314) 842-5239
Fax(314) 842-3835
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1134100100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · R6070
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13303 TESSON FERRY RD, Saint Louis, MO 63128
Open in Google Maps ↗

Other Identifiers 9

Other1200163MO · Uhc
Medicare PIN017011188MO
Medicare PIN328422451MO
Other40000261MO · Aetna
Other5724V34311MO · Healthcare Usa
Other40420MO · Ghp
Other100732MO · Healthlink
Other17699MO · Bcb
Medicare UPINA29059MO

Other Providers at the Same Location NPPES 18

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

JOSEPH SCHACHTER M.D.
Pediatrics
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
St. Louis County (314) 842-5239
CATHERINE REMUS M.D.
Pediatrics
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
St. Louis County (314) 842-5239
KATHLEEN MURPHY
Physical Therapist
13303 TESSON FERRY RD, SUITE 10
SAINT LOUIS, MO 63128
St. Louis County (314) 849-9494
KAREN DIEHL CPNP
Nurse Practitioner (Pediatrics)
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
St. Louis County (314) 842-5239
RYAN M KISSEL OTR/L
Occupational Therapist
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 842-4400
JULIE HURST
Physical Therapy Assistant
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-9494
MICHAEL FEDAK M.D.
Internal Medicine
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
St. Louis County (314) 842-4744
DR. PAUL ELIAS MALAK MD
Internal Medicine
13303 TESSON FERRY RD, SUITE 50
SAINT LOUIS, MO 63128
St. Louis County (314) 729-9995

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 Charles Dougherty's NPI number?

The NPI number for Charles Dougherty is 1134100100. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Charles Dougherty located?

Charles Dougherty practices at 13303 Tesson Ferry Rd, Saint Louis, MO 63128. The listed phone number is (314) 842-5239.

What is Charles Dougherty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Charles Dougherty was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.