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MR. ROBERT LEE DOUGHERTY PA-C
NPI 1891787529
Physician Assistant - Medical in Casey, IL

Active since August 18, 2005
412 NW 3RD ST, CASEY, IL 62420(217) 932-4061(217) 932-5191 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert Lee Dougherty Pa-c NPPES

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

MR. ROBERT LEE DOUGHERTY PA-C (NPI 1891787529) is an individual medical provider in Casey, Illinois, licensed in Illinois (085000498) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1891787529
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ROBERT LEE DOUGHERTYCredential: PA-C
Location Address412 NW 3RD STCasey, IL 62420-1014
Mailing Address4114 E Us 40Casey, IL 62420-3113 · (217) 382-4754 · Fax (217) 932-5191
Phone(217) 932-4061
Fax(217) 932-5191
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1891787529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085000498
412 NW 3RD ST, Casey, IL 62420
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Other Identifiers 2

Medicare UPINR17263IL
Medicare PINL77014IL

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 Robert Dougherty's NPI number?

The NPI number for Robert Dougherty is 1891787529. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Robert Dougherty located?

Robert Dougherty practices at 412 NW 3rd St, Casey, IL 62420. The listed phone number is (217) 932-4061.

What is Robert Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Robert Dougherty was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.