Physician Assistant
CONNOR DOHERTY PA-C, ATC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831735851 · enumerated 2019-11-25 · record updated 2026-07-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN, 46222-1147 (317) 291-7422 Fax (317) 291-7433 Google Maps Apple Maps OpenStreetMap
- Practice location 3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN, 46222-1147 (317) 291-7422 Fax (317) 291-7433 Google Maps Apple Maps OpenStreetMap
Specialties
- Specialist/Technologist, Athletic Trainer 2255A2300X · License 096004117 IL
- Physician Assistant 363A00000X · Primary · License 10004557A IN
In this directory
Locations and evidence
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Practice location
INDIANAPOLIS, IN, 462221147
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.