CHARLES DOUGHERTY M.D.
NPI 1134100100
Pediatrics in Saint Louis, MO
NPI Status: Active since November 08, 2005
Contact Information
13303 TESSON FERRY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 842-5239
Fax: (314) 842-3835
- Individual
- Male
- Pediatrics
About CHARLES DOUGHERTY
This page provides the complete NPI Profile along with additional information for Charles Dougherty, a pediatrician established in Saint Louis, Missouri with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1134100100 assigned on November 2005. The practitioner's primary taxonomy code is 208000000X with license number R6070 (MO). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1134100100
- Provider Name
- CHARLES DOUGHERTY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13303 TESSON FERRY RD SAINT LOUIS, MO 63128
- Location Phone
- (314) 842-5239
- Location Fax
- (314) 842-3835
- Mailing Address
- PO BOX 23340 SAINT LOUIS, MO 63156
- Mailing Phone
- (314) 842-5239
- Mailing Fax
- (314) 842-3835
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-08-2005
- Last Update Date
- 09-21-2012
- Code Navigator
A pediatrician like Charles Dougherty is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R6070
- License State
- MO
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1200163 | OTHER (01) | MO | UHC |
| 017011188 | MEDICARE PIN (08) | MO | |
| 328422451 | MEDICARE PIN (08) | MO | |
| 40000261 | OTHER (01) | MO | AETNA |
| 5724V34311 | OTHER (01) | MO | HEALTHCARE USA |
| 40420 | OTHER (01) | MO | GHP |
| 100732 | OTHER (01) | MO | HEALTHLINK |
| 17699 | OTHER (01) | MO | BCB |
| A29059 | MEDICARE UPIN (02) | MO |
Reviews for CHARLES DOUGHERTY M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 0 | 0 | 1 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 0 | 0 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 0 + 0 + 1 + 0 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1134100100 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508828989 | SOUTH COUNTY OUTPATIENT SURGERY CENTER LP Organization | Clinic/Center (Ambulatory Surgical) | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 842-3200 |
| 1770504250 | PHILIP C TROTTA M.D. Individual | Radiology (Diagnostic Radiology) | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 843-5888 |
| 1154431864 | JULIE HURST Individual | Physical Therapy Assistant | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 849-9494 |
| 1093825739 | KATHLEEN MURPHY Individual | Physical Therapist | 13303 TESSON FERRY RD SUITE 10 SAINT LOUIS, MO 63128 (314) 849-9494 |
| 1881798361 | CARDIOLOGY CONSULTANTS OF ST. LOUIS COUNTY PC Organization | Internal Medicine (Cardiovascular Disease) | 13303 TESSON FERRY RD STE. 55 SAINT LOUIS, MO 63128 (317) 270-3260 |
| 1124126164 | KAREN DIEHL CPNP Individual | Nurse Practitioner (Pediatrics) | 13303 TESSON FERRY RD SUITE 150 SAINT LOUIS, MO 63128 (314) 842-5239 |
| 1184834939 | DR. PAUL ELIAS MALAK MD Individual | Internal Medicine | 13303 TESSON FERRY RD SUITE 50 SAINT LOUIS, MO 63128 (314) 729-9995 |
| 1437140639 | DAVID HAMMOND M.D. Individual | Internal Medicine | 13303 TESSON FERRY RD SUITE 150 SAINT LOUIS, MO 63128 (314) 842-4744 |
| 1023099694 | CATHERINE REMUS M.D. Individual | Pediatrics | 13303 TESSON FERRY RD SUITE 150 SAINT LOUIS, MO 63128 (314) 842-5239 |
| 1841236593 | MATTHEW DOUGHERTY MD Individual | Pediatrics | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 842-5239 |
| 1013998525 | JOSEPH SCHACHTER M.D. Individual | Pediatrics | 13303 TESSON FERRY RD SUITE 150 SAINT LOUIS, MO 63128 (314) 842-5239 |
| 1659717130 | DR. MARY ELLEN TROTTIER M.D. Individual | Preventive Medicine (Occupational Medicine) | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 729-9995 |
| 1194954099 | ELIZABETH ANN REMUS M.D. Individual | Internal Medicine | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 842-4744 |
| 1467782813 | DR. JILL MARIE DIESMAN AU.D. Individual | Audiologist | 13303 TESSON FERRY RD SUITE 20 SAINT LOUIS, MO 63128 (816) 883-2680 |
| 1689962078 | GATEWAY VASCULAR ACCESS, LLC Organization | Clinic/Center | 13303 TESSON FERRY RD SUITE 125 SAINT LOUIS, MO 63128 (314) 541-3177 |
| 1477022861 | ANDREA WOOD LPC Individual | Counselor (Professional) | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (636) 379-1779 |
| 1255378832 | MIGUEL GELMAN MD Individual | Radiology (Diagnostic Radiology) | 13303 TESSON FERRY RD SAINT LOUIS, MO 63128 (314) 843-5888 |
| 1174514384 | MICHAEL FEDAK M.D. Individual | Internal Medicine | 13303 TESSON FERRY RD SUITE 150 SAINT LOUIS, MO 63128 (314) 842-4744 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134100100, enumerated in the NPI registry as an "individual" on November 08, 2005
The provider is located at 13303 Tesson Ferry Rd Saint Louis, Mo 63128 and the phone number is (314) 842-5239
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 08, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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