NPIMap

Individual provider Active NPI

Nolan Michael Docherty, PA-C

  • Medical Physician Assistant
  • Scranton, PA
National Provider Identifier
1982183034
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059993 Issued in PA
Practice address
300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone
(570) 342-7864
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059993 PA Primary

Addresses

Primary practice location

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001

Mailing address

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 703-8128

Other practice location 1

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 703-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029000464 PA Practitioner - Physician Assistant 6204189848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355

2649 Schoenersville Rd
Suite 201
Bethlehem, PA 18017-7316
Phone (484) 884-8110

Hospital & facility affiliations

  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059993PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Dec 8, 2025 Accepting new patients
Geisinger Clinic CurrentSince Feb 25, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 8, 2025 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Feb 25, 2019 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

1245 S Cedar Crest Blvd
Ste 101
Allentown, PA 18103
Phone (484) 957-2770

1575 Pond Rd
Ste 203
Allentown, PA 18104
Phone (610) 366-1366

2649 Schoenersville Rd
Ste 201
Bethlehem, PA 18017
Phone (610) 868-6833

1770 Bathgate Rd
Ste 401
Bethlehem, PA 18017
Phone (484) 884-8840

3100 Emrick Blvd
Ste 250
Bethlehem, PA 18020

100 N Academy Ave
Danville, PA 17822

2226 Blakeslee Boulevard Dr E
#200
Lehighton, PA 18235
Phone (484) 884-1007

99 N West End Blvd
Ste 110
Quakertown, PA 18951
Phone (215) 536-1915

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

300 Lackawanna Ave
#200
Scranton, PA 18503

300 Lackawanna Ave
Ste 200
Scranton, PA 18503
Phone (570) 342-7864

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1982183034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-703-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE STE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-342-7864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102369",
            "country_code": "US",
            "telephone_number": "570-703-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCHERTY",
        "first_name": "NOLAN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.