Richard a. Dougherty, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RICHARD A. DOUGHERTY, MD, PA

Practice address

10450 Park Rd
Suite 200
Charlotte, NC 28210-8403

Phone

(704) 541-9002

Fax

(704) 542-6701

NPI assigned

Oct 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Darlene Philibert Dougherty

Title

Manager

Phone

(704) 541-9002

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5609/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Allen Dougherty, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1629068515
  Medicare reassignment NPD
• Rahele Mohseni, PA

  • Medical Physician Assistant
  • Charlotte, NC
  • NPI 1619244241
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1245429794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108403",
            "telephone_number": "704-541-9002",
            "fax_number": "704-542-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108403",
            "telephone_number": "704-541-9002",
            "fax_number": "704-542-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. DOUGHERTY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "PHILIBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-541-9002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9300686",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Thurston Rice
• William Rice, PA
• William Charles Rice, M.D.
• Rebecca Hope Rich, ATC
• Ryan K Rich, MD
• Richard E. Offutt, DDS, PA
• Richard F Dest, DDS, PLLC
• Richard F. Dest, DDS, PA
• Richard J Pockat DDS PA
• Richard J. Kincaid DDS,PA

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.