Active NPI
Scott M Doherty, PA
- Physician Assistant
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MED-PAC-LIC-34654
- Practice address
- 2230 N Reserve St Ste 402
Missoula, MT 59808-1364 - Phone
- (406) 721-0533
- Fax
- (406) 728-4463
- NPI assigned
- Sep 8, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-34654 | MT | Primary |
| Physician Assistant | 363A00000X | PA230478 | OR |
Addresses
Primary practice location
2230 N Reserve St Ste 402
Missoula, MT 59808-1364
Mailing address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4585
Other practice location 1
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
760 Hospital Circle
Browning, MT 59417-0000
Phone (406) 338-6154
Hospital & facility affiliations
- P H S Indian Hospital at Browning - Blackfeet
- Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PAC-LIC-34654 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Past | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
Interoperability endpoints
- sdoherty@direct.communitymed.org
Organizations & group practices 4
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.
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1689075889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2827 FORT MISSOULA RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047408",
"telephone_number": "406-327-4585",
"fax_number": "406-327-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N RESERVE ST STE 402",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081364",
"telephone_number": "406-721-0533",
"fax_number": "406-728-4463"
}
],
"practiceLocations": [
{
"address_1": "2850 SE Powell Valley Rd",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970801494",
"country_code": "US",
"telephone_number": "503-666-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOHERTY",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-08",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-PAC-LIC-34654",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA230478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.