Charles Dougherty
M.D. | Pediatrics | Male
Charles Dougherty, M.D. is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Charles Dougherty is
13303 Tesson Ferry Rd, Saint Louis, Missouri - 63128-4062. He can be contacted on phone at
314-842-5239 and fax number 314-842-3835.
Charles Dougherty is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles Dougherty is
1134100100 which was assigned by NPPES on 08 Nov, 2005 and it was last updated on 21 Sep, 2012.
Charles Dougherty license number is
R6070 for Pediatrics (208000000X) in Missouri.
Charles Dougherty is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Charles Dougherty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Charles Dougherty |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Charles Dougherty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13303 Tesson Ferry Rd
Saint Louis, MO, 63128-4062
United States |
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| Phone Number : | 314-842-5239 |
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| Fax Number : | 314-842-3835 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1134100100 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Nov, 2005 |
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| Last Updated On : | 21 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Dougherty are as mentioned. Primary taxonomy code for Charles Dougherty, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | R6070 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Charles Dougherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1200163 | Other | MO | UHC |
| 40000261 | Other | MO | AETNA |
| 5724V34311 | Other | MO | HEALTHCARE USA |
| 40420 | Other | MO | GHP |
| 100732 | Other | MO | HEALTHLINK |
| 17699 | Other | MO | BCB |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 23340
Saint Louis, MO, 63156-3340
United States |
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| Phone Number : | 314-842-5239 |
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| Fax Number : | 314-842-3835 |
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Business Location:
Patients can refer following map for directions to
Charles Dougherty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.