CHRISTOPHER R DOUGHERTY AA
NPI 1720336548
Anesthesiologist Assistant in Fort Wayne, IN

Active since August 28, 2012Accepts Medicare Assignment
11141 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845(260) 425-6030(260) 425-6028 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christopher R Dougherty Aa NPPES

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

CHRISTOPHER R DOUGHERTY AA (NPI 1720336548) is an individual anesthesiologist assistant in Fort Wayne, Indiana, licensed in Indiana (75000180A) and active in the NPI registry since August 2012. He is affiliated with Parkview Regional Medical Center, maintains a secondary practice location in Springfield, and is a graduate of Emory University School Of Medicine (2012).

NPPES Registry Identity

NPI1720336548
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameCHRISTOPHER R DOUGHERTYCredential: AA
Location Address11141 PARKVIEW PLAZA DR STE 200Fort Wayne, IN 46845-1714
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Fax(260) 425-6028
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2012
Enumeration DateAugust 28, 2012
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
NPI 1720336548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses Licensed in IN · 75000180A Licensed in MO · 2012029911
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

11141 PARKVIEW PLAZA DR STE 200, Fort Wayne, IN 46845

Secondary Practice Location 1

Location 11235 E Cherokee StSpringfield, MO 65804-2203 · Phone (417) 820-2829 · Fax (417) 820-8852

Other Identifiers 3

Other431560263MO · Tricare
OtherP01129104MO · Rr Mcr
Medicaid1720336548MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Christopher R Dougherty Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335392034
PECOS Enrollment IDI20241209002453

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

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.

Anesthesiologist Assistant
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiologist Assistant
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiology
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiologist Assistant
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiology
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiology
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiology
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Anesthesiology
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845

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 Christopher Dougherty's NPI number?

The NPI number for Christopher Dougherty is 1720336548. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Christopher Dougherty located?

Christopher Dougherty practices at 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845. The listed phone number is (260) 425-6030.

What is Christopher Dougherty's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Christopher Dougherty enrolled in Medicare?

Yes. Christopher Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Christopher Dougherty accept?

Health plans from CareSource list Christopher Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Christopher Dougherty affiliated with any hospitals?

According to CMS data, Christopher Dougherty is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Christopher Dougherty was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.