ANDREW T DOHERTY PA-C
NPI 1962716456
Physician Assistant in Rockford, IL

Active since July 27, 2010
3475 S ALPINE RD, ROCKFORD, IL 61109(815) 874-8000 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew T Doherty Pa-c NPPES

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

ANDREW T DOHERTY PA-C (NPI 1962716456) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085.003763) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1962716456
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW T DOHERTYCredential: PA-C
Location Address3475 S ALPINE RDRockford, IL 61109-2604
Mailing Address713 Sunglow CtDekalb, IL 60115-8585
Sole ProprietorNo
Enumeration DateJuly 27, 2010
Last NPPES UpdateApril 4, 2016
NPI 1962716456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.003763
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3475 S ALPINE RD, Rockford, IL 61109

Other Identifiers 1

Medicare PIN436860074IL

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Physical Therapy Assistant
3475 S ALPINE RD
ROCKFORD, IL 61109
Physician Assistant (Medical)
3475 S ALPINE RD
ROCKFORD, IL 61109
Physical Therapist
3475 S ALPINE RD, PHYSICIANS IMMEDIATE CARE
ROCKFORD, IL 61109
Physical Therapy Assistant
3475 S ALPINE RD
ROCKFORD, IL 61109
Occupational Therapist
3475 S ALPINE RD
ROCKFORD, IL 61109
Clinic/Center (Urgent Care)
3475 S ALPINE RD
ROCKFORD, IL 61109
Physical Therapy Assistant
3475 S ALPINE RD
ROCKFORD, IL 61109
Nurse Practitioner (Family)
3475 S ALPINE RD
ROCKFORD, IL 61109

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 Andrew Doherty's NPI number?

The NPI number for Andrew Doherty is 1962716456. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Andrew Doherty located?

Andrew Doherty practices at 3475 S Alpine Rd, Rockford, IL 61109. The listed phone number is (815) 874-8000.

What is Andrew Doherty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Andrew Doherty accept?

Health plans from UnitedHealthcare list Andrew Doherty 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.

When was this NPI record last updated?

The NPPES record for Andrew Doherty was last updated on April 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.