Individual provider · Type 1 NPI

Connor Patrick Doherty, PA-C, ATC

Physician Assistant · Indianapolis, IN

NPI number 1831735851 Active

Practice location

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147

Fax (317) 291-7433

Other practice locations

  • 5750 W 56th St, Indianapolis, IN 46254-1695 · (317) 291-7422
  • 333 S Madison St, Muncie, IN 47305-2465 · (765) 287-3087

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X096004117 (IL)
Physician Assistant Primary 363A00000X10004557A (IN)

Physician Assistant: 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, orde…

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About NPI 1831735851

Connor Patrick Doherty, PA-C, ATC's National Provider Identifier is 1831735851, issued on Nov 25, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 1, 2026.