Carin Dougherty (NPI# 1750533071, PAC ID# 7719013515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750533071 |
| PAC ID by PECOS | 7719013515 |
| Professional Enrollment ID | I20130708000262 |
| Full Name | Carin Dougherty |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Address |
401 W Pennsylvania St Comm Hosp of Anaconda Anaconda MT 59711-1931 |
| Phone Number | 4065638500 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6608786306 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270014 | ST. PATRICK HOSPITAL |
| 131305 | STEELE MEMORIAL MEDICAL CENTER |
| 271323 | CLARK FORK VALLEY HOSPITAL |
| 271335 | COMMUNITY HOSPITAL OF ANACONDA |
| 271340 | MARCUS DALY MEMORIAL HOSPITAL - CAH |
| Address | Phone | Organization |
|---|---|---|
| 401 W Pennsylvania St, Comm Hosp of Anaconda, Anaconda, MT 59711-1931 | 4065638500 | PROVIDENCE HEALTH AND SERVICES MT |
| 2829 Great Northern Loop, Suite 300, Missoula, MT 59808-1752 | 4065417000 | PROVIDENCE HEALTH AND SERVICES MT |
| 500 W Broadway St, Missoula, MT 59802-4031 | 4063295615 | PROVIDENCE HEALTH AND SERVICES MT |
| 500 W Broadway St, Missoula, MT 59802-4096 | PROVIDENCE HEALTH AND SERVICES MT | |
| 500 W Broadway St 3rd Fl, Missoula, MT 59802-4096 | PROVIDENCE HEALTH AND SERVICES MT | |
| 500 W Broadway St 4th Floor, Missoula, MT 59802-4096 | 4063271900 | PROVIDENCE HEALTH AND SERVICES MT |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Physicians | 215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noor Alain Bass | Family Medicine | Providence Health and Services Mt | 1211 S Reserve St, Suite 101, Missoula, MT 59801-3103 |
| Ursula Encell Holloway | Clinical Social Worker | Providence Health and Services Mt | 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390 |
| Akaash Forrest Acharya | Internal Medicine | Providence Health and Services Mt | 902 N Orange St 4th Fl, Inpatient Rehab, Missoula, MT 59802-2998 |
| Nicole Diane Pfeifer | Nurse Practitioner | Providence Health and Services Mt | 4720 23rd Ave, Missoula, MT 59803-1137 |
| Emily A Cote | Nurse Practitioner | Providence Health and Services Mt | 5549 Old Us Hwy 93, Florence, MT 59833-6545 |
| Tina M Barker | Nurse Practitioner | Providence Health and Services Mt | 500 W Broadway St 5th Fl, Trauma Services, Missoula, MT 59802-4096 |
| Kevin M Sheehan | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St 4th Floor, Providence Broadway Int Med, Missoula, MT 59802-4096 |
| John A Willoughby | Psychiatry | Providence Health and Services Mt | 900 N Orange St, 202 Providence Psychiatry, Missoula, MT 59802-2951 |
| Rebecca B Hoover | Family Medicine | Providence Health and Services Mt | 621 W Alder, Pmg Mt Missoula Family Medical, Missoula, MT 59802-4014 |
| Michele A Danicich | Endocrinology | Providence Health and Services Mt | 902 N Orange St, 304 Prov Metabolic Ctr of Endo Diab and Nurition, Missoula, MT 59802-2951 |
| Street Address |
401 W PENNSYLVANIA ST COMM HOSP OF ANACONDA |
| City | ANACONDA |
| State | MT |
| Zip | 59711-1931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan B Pine | Orthopedic Surgery | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Gus K Varnavas | Neurosurgery | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Betty J Nelson | Certified Registered Nurse Anesthetist (crna) | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Joseph P Romero | Certified Registered Nurse Anesthetist (crna) | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Roger Pafford | Family Medicine | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Thomas J Mcmahon | General Surgery | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Brandon J Herres | Certified Registered Nurse Anesthetist (crna) | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Bertrand F Jones | Orthopedic Surgery | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Katie E Dawson | General Surgery | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Steven R Ecklund | Rheumatology | Community Hospital of Anaconda | 305 W Pennsylvania Ave, Anaconda, MT 59711-1900 |
| Find all physicians in zip 59711 | |||
| City | ANACONDA |
| Zip Code | 59711 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ANACONDA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carin Dougherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.