MISS CARIN DOUGHERTY (NPI# 1750533071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750533071 |
| Entity Type | Individual |
| Full Name | MISS CARIN DOUGHERTY |
| Credential | PA-C |
| Practice Address |
601 W Spruce St Suite C Missoula MT 59802-4057 |
| Practice Telephone | 4063295746 |
| Practice Fax Number | 4063271697 |
| Mailing Telephone | 4063295746 |
| Mailing Fax Number | 4063271697 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MED-PAC-LIC-2442 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
19670 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICARE PTAN | M000009936 | 01 |
| Street Address |
601 W SPRUCE ST SUITE C |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821048729 | Kimberly John Curtis | Internal Medicine | 601 W Spruce St, Suite K, Missoula, MT 59802-4057 | 2006-05-11 |
| 1275934333 | Mackenzie Leigh Epler | Physician Assistant | 601 W Spruce St, Missoula, MT 59802-4057 | 2014-09-09 |
| 1396034328 | Robert Choyce Humble | Obstetrics & Gynecology | 601 W Spruce St, Missoula, MT 59802-4057 | 2011-03-30 |
| 1598064628 | Providence Health & Services Mt | Clinic/Center | 601 W Spruce St, Suite A, Missoula, MT 59802-4057 | 2011-03-15 |
| 1982900411 | Diana Podlecki | Physician Assistant | 601 W Spruce St, Missoula, MT 59802-4057 | 2011-02-01 |
| 1306086160 | Providence Health & Services Mt | Physical Medicine & Rehabilitation | 601 W Spruce St, Ste C, Missoula, MT 59802-4057 | 2009-03-05 |
| 1376705491 | Ruth Ann Payne | Technician/Technologist | 601 W Spruce St, Suite E, Missoula, MT 59802-4047 | 2008-06-30 |
| 1487835351 | Motion Medical Solutions, Inc | Durable Medical Equipment & Medical Supplies | 601 W Spruce St, Suite J, Missoula, MT 59802-4057 | 2007-11-20 |
| 1437353232 | Jennifer Burch Mayo | Obstetrics & Gynecology | 601 W Spruce St, Missoula, MT 59802-4057 | 2007-06-14 |
| 1063634145 | Montana Valley Eye Clinic, Pllc | Ophthalmology | 601 W Spruce St, Ste E, Missoula, MT 59802-4057 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
| 1043215221 | Ruth M West | Physician Assistant | 900 N Orange St, Suite #207, Missoula, MT 59802-2998 | 2005-06-15 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1831582568 | Brianna Lui | Physician Assistant | 900 N Orange St, Suite 303, Missoula, MT 59802-2998 | 2015-03-04 |
| 1972994739 | Heidi Maria Meierbachtol | Physician Assistant | 500 W Broadway St, Suite 320, Missoula, MT 59802-4008 | 2015-02-13 |
| 1124422506 | Andrew David Ashford | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2014-10-14 |
| 1538584958 | Alira N Spring | Physician Assistant | 1821 South Ave W Ste 402, Missoula, MT 59801-6518 | 2014-02-21 |
| 1649509506 | Winslow Lewis IIi | Physician Assistant | 323 W Alder St, Missoula, MT 59802-4123 | 2009-12-23 |
| 1518296672 | Elizabeth A. Mcneece | Physician Assistant | 900 N Orange St Ste 202, Missoula, MT 59802-2951 | 2009-12-18 |
| 1548594591 | Lynn Marie Graham | Physician Assistant | 2825 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7420 | 2009-09-23 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on MISS CARIN DOUGHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.