Christopher R Dougherty, AA - Fort Wayne, IN

Christopher R Dougherty, AA

Anesthesiologist Assistant in Fort Wayne, Indiana

NPI 1720336548

Christopher R Dougherty is an Anesthesiologist Assistant based in Springfield, IN. Christopher R Dougherty practices in Fort Wayne, IN and has the professional credentials of AA. The NPI Number for Christopher R Dougherty is 1720336548 and holds a License No. 2012029911 (Indiana).

The current practice location address for Christopher R Dougherty is 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN and can be reached out via phone at 260-425-6030 and via fax at 260-425-6028.

Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN, 65801-2580

NPI Number

1720336548

Provider Name

Christopher R Dougherty

Credential

Provider Entity Type

Individual

Gender

Male

Address

11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN, 65801-2580

Phone Number

260-425-6030

Fax Number

260-425-6028

Provider Enumeration Date

08/28/2012

Last Update Date

08/17/2024

Identifier	Type	State	Issuer
431560263	01	MO	TRICARE
P01129104	01	MO	RR MCR
1720336548	05	MO

Address

11141 Parkview Plaza Dr Ste 200

City

Fort Wayne

State

Indiana

Zip

46845-1714

Phone Number

260-425-6030

Fax Number

260-425-6028

Address

11141 Parkview Plaza Dr Ste 200

City

Fort Wayne

State

Indiana

Zip

46845-1714

Phone Number

260-425-6030

Fax Number

260-425-6028

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Anesthesiologist Assistant

Speciality

Taxonomy

367H00000X

License No.

2012029911 (Missouri)

Definition

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 Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

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