Individual provider · Type 1 NPI

Christopher R. Dougherty, AA

Anesthesiologist Assistant · Fort Wayne, IN

NPI number 1720336548 Active

Practice location

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714

Fax (260) 425-6028

Mailing address

PO Box 2580
Springfield, MO 65801-2580

Other practice locations

  • 1235 E Cherokee St, Springfield, MO 65804-2203 · (417) 820-2829

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000X2012029911 (MO)
Anesthesiologist Assistant Primary 367H00000X75000180A (IN)

Anesthesiologist Assistant: 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 …

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About NPI 1720336548

Christopher R. Dougherty, AA's National Provider Identifier is 1720336548, issued on Aug 28, 2012. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 15, 2024.