Minnie Dougherty, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

Commander USA Meddac Ak McUc MMD Attn Credentials
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440

Phone

(907) 353-5418

Fax

(907) 353-4847

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407916190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS",
            "address_2": "1060 GAFFNEY RD STE 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS",
            "address_2": "1060 GAFFNEY RD STE 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MINNIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dains, RDH
• Debbie Ann Davis, RN
• Abby Marie Debonis, DDS
• Khanh Dinh, PHARMD
• Benjamin P Donham, MD
• Mary Claudean Dover, R.N.
• Barbara L Drake, RN
• Aimee Duncan, RD
• Geoffrey Duncklee, PHD, CRNA
• Harley Dungee, PSYD

• Medical Physician Assistant in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.