Active NPI
Patrick Dougherty, CRNA
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN623373
- Practice address
- 111 S Front St
Harrisburg, PA 17101-2010 - Phone
- (717) 782-5118
- Fax
- (717) 782-5854
- NPI assigned
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN623373 | PA | Primary |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101-2010
Mailing address
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5118
Other practice location 1
2570 Haymaker Rd
UPMC East
Monroeville, PA 15146-3513
Phone (412) 858-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pdougherty102240@direct.ahn.org | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181102000672 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3274886510 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Medical Providers | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients |
Locations
127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550
24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000
2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000
1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
Interoperability endpoints
- pdougherty102240@direct.ahn.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1558310326
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Cardiovascular Disease Physician
- New Castle, PA
- NPI 1821534488
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
- NPI 1942867064
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1114406428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-782-5118",
"fax_number": "717-782-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-782-5118",
"fax_number": "717-782-5854"
}
],
"practiceLocations": [
{
"address_1": "2570 Haymaker Rd",
"address_2": "UPMC East",
"address_purpose": "LOCATION",
"city": "Monroeville",
"state": "PA",
"postal_code": "151463513",
"country_code": "US",
"telephone_number": "412-858-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "PATRICK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN623373",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pdougherty102240@direct.ahn.org",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.