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Active NPI 1831735851 Individual Practitioner Male Practitioner

Connor Patrick Doherty , PA-C, ATC

Physician Assistant • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Connor Doherty, PA-C, ATC is a certified Physician Assistant practicing in Indianapolis, IN. With approximately 2 years of clinical experience since completing medical education in 2024, Connor Doherty delivers high-quality medical care to the local community at 3400 LAFAYETTE RD STE 200.

Connor Doherty is affiliated with Open Door Health Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3400 Lafayette Rd Ste 200

Indianapolis, IN 462221147

Telephone 3172917422
Fax 3172917433
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Indianapolis, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
714 Specialists

Practicing in Indianapolis, IN (2429 Statewide)

Telehealth Adoption Rate
13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Doherty (2 Years) 2 Yrs
Indianapolis Specialty Average (9.2 Years) 9.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10004557A

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

State License IL 096004117

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Hospital & Practice Group Affiliations

Open Door Health Services Inc

1651 E 29th St, Muncie, IN 473025886

Phone: 7657471164

Open Door Health Services Inc

333 S Madison St, Muncie, IN 473052465

Phone: 76528670004235

Secondary Practice Locations

333 S Madison St

Muncie, IN 473052465

Phone: 7652873087

5750 W 56th St

Indianapolis, IN 462541695

Phone: 3172917422

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Duerksen , CPNP

Nurse Practitioner - Pediatrics

NPI 1013384361

Certified Pediatric Nurse Practitioner

Teresa Driskell , CFNP

Nurse Practitioner - Family

NPI 1023233194
Amanda Powers , NP

Nurse Practitioner

NPI 1023532827

Nurse Practitioner

Allison Mccarley , FNP-C

Nurse Practitioner

NPI 1023771961

Family Nurse Practitioner (Certified)

Jessica Klipsch , RN

Nurse Practitioner - Pediatrics

NPI 1033211040

Registered Nurse

Kylie Ross , CPNP, MSN, RN

Nurse Practitioner - Pediatrics

NPI 1083081590

Certified Pediatric Nurse Practitioner, Master of Science in Nursing, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Specialist/Technologist (License #096004117 in IL)

📍
Updated Practice Location April 03, 2026

Registered at 3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN 462221147 (Tel: 3172917422)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2026

Physician Assistant

📍
Updated Practice Location February 11, 2026

Registered at 5750 W 56TH ST, INDIANAPOLIS, IN 462541695 (Tel: 3172917422)

📍
Updated Business Mailing Address February 11, 2026

Registered at 3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN 462221147 (Tel: 3172917422)

📍
Updated Practice Location June 13, 2025

Registered at 333 S MADISON ST, MUNCIE, IN 473052465 (Tel: 7652873087)

📍
Updated Business Mailing Address June 13, 2025

Registered at PO BOX 1676, MUNCIE, IN 473081676 (Tel: 7652873087)

📍
Updated Practice Location August 06, 2024

Registered at 2310 N NEW JERSEY ST, INDIANAPOLIS, IN 462054338 (Tel: 8474776055)

📍
Updated Business Mailing Address August 06, 2024

Registered at 2310 N NEW JERSEY ST, INDIANAPOLIS, IN 462054338 (Tel: 8474776055)

👤
Provider Name / Credentials Updated August 06, 2024

Recorded as CONNOR DOHERTY, PA-C, ATC

NPI Profile Active November 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2019

Registered at 1207 S OAK ST # MC-574, CHAMPAIGN, IL 618206901 (Tel: 8474776055)

📍
Updated Business Mailing Address November 25, 2019

Registered at 1207 S OAK ST # MC-574, CHAMPAIGN, IL 618206901 (Tel: 8474776055)

👤
Provider Name / Credentials Updated November 25, 2019

Recorded as CONNOR DOHERTY, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2019

Specialist/Technologist (License #096004117 in IL)

🟢
Initial NPI Registration & Enumeration November 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831735851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2019
Last Update: July 01, 2026
Sole Proprietor: No

Mailing Address

3400 Lafayette Rd Ste 200

Indianapolis, IN 462221147

Phone: 3172917422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.