SHANNON MARIE DOUGHERTY
NPI 1770466054
Physician Assistant in Bloomington, IN
NPI Status: Active since July 25, 2025
Contact Information
2651 E DISCOVERY PKWY
BLOOMINGTON, IN
ZIP 47408
Phone: (812) 676-4144
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Physician Assistant
About SHANNON DOUGHERTY
This page provides the complete NPI Profile along with additional information for Shannon Dougherty, a primary care provider established in Bloomington, Indiana with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1770466054 assigned on July 2025. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated August 2025.
- NPI
- 1770466054
- Provider Name
- SHANNON MARIE DOUGHERTY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408
- Location Phone
- (812) 676-4144
- Mailing Address
- 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2025
- Last Update Date
- 08-19-2025
- Code Navigator
A primary care provider (PCP) like Shannon Dougherty sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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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 | 7 | 7 | 0 | 4 | 6 | 6 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 8 | 6 | 12 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 8 + 6 + 1 + 2 + 0 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1770466054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053555292 | LINDA A BENEDICT NP Individual | Nurse Practitioner (Family) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1376645408 | LINDSEY RENEE KOCHER PA-C Individual | Physician Assistant | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1699126870 | KAREN SAYAD MD Individual | Internal Medicine (Critical Care Medicine) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 331-3400 |
| 1992703581 | DEBBIE J HALL MD Individual | Pediatrics | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1386106250 | DR. DAVID HARLAN MONTGOMERY MD Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1437654738 | DR. MOLLIE POWELL DO Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1467401794 | DR. JEREMY GEORGE REMUS MD Individual | Family Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1689170342 | BRANDON W BOWDOIN DO Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1992352934 | CHINENYE U EZE-RAPHAEL MD Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1003301805 | WAI POK VERNON CHAN DO Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1023751419 | MRS. MEGAN EMILY MCGLOTHLIN NP Individual | Nurse Practitioner (Gerontology) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4144 |
| 1093246001 | DR. JOHN AUSTIN LEE MD, MPH Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1174264089 | LAUREN ELIZABETH JENSEN PA-C Individual | Physician Assistant | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1548241912 | DR. ASHWIN NARASIMHAN M.D. Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1902394711 | KEVIN ALLEN KESSLER MD Individual | Psychiatry & Neurology (Neurology) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-5222 |
| 1134381296 | DR. CARLYLE GEORGE LANGHORN JR. M.D. Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1245298041 | DR. MICHAEL W BALBUS M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9852 |
| 1376266536 | BELINDA CRAIN PHARMD Individual | Pharmacist | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-3499 |
| 1447491477 | LESLIE ANNE FOXLOW MD Individual | Obstetrics & Gynecology | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 918-3400 |
| 1487145298 | PAUL JOSEPH VANDEKOPPEL MD Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770466054, enumerated in the NPI registry as an "individual" on July 25, 2025
The provider is located at 2651 E Discovery Pkwy Bloomington, In 47408 and the phone number is (812) 676-4144
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
This NPI record was last updated on July 25, 2025. 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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