Active NPIIndividual provider

Mrs. Carrie A Doherty, PA

Physician Assistant in Somers, Connecticut

NPI Number1548218191
Practice location
24 Battle St, Somers, CT 06071-1629
Fax
860-749-7421
Last updated
November 12, 2021

Carrie A Doherty is a Physician Assistant based in Somers, CT. Carrie A Doherty practices in Somers, CT and has the professional credentials of PA. The NPI Number for Carrie A Doherty is 1548218191 and holds a License No. 001263 (CT). The current practice location address for Carrie A Doherty is 24 Battle St, Somers, CT 06071-1629 and can be reached out via phone at 860-749-8887 and via fax at 860-749-7421.

Provider Profile Details

NPI Number
1548218191
Provider Name
Carrie A Doherty
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
24 Battle St, Somers, CT 06071-1629
Phone Number
860-749-8887
Fax Number
860-749-7421
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Miss Carrie A Lux, PA (Former Name)
Provider Enumeration Date
May 5, 2006
Last Update Date
November 12, 2021
Certification Date
November 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Battle St
Somers, CT 06071-1629
City
Somers
Zip
06071-1629
Phone Number
860-749-8887
Fax Number
860-749-7421
Somers, CT 06071Get directions →

Provider Business Mailing Address Details

Address
24 Battle St
Somers, CT 06071-1629
City
Somers
State
CT
Zip
06071-1629
Phone Number
860-749-8887
Fax Number
860-749-7421

License Information

License Number
001263
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Carrie A Doherty, PA?

The NPI number of Mrs. Carrie A Doherty, PA is 1548218191. It was assigned on May 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Carrie A Doherty, PA?

Mrs. Carrie A Doherty, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001263.

Where does Mrs. Carrie A Doherty, PA practice?

The practice location is 24 Battle St, Somers, CT 06071-1629. The office can be reached at 860-749-8887 (phone) or 860-749-7421 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548218191 directly on the NPPES registry website.

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