Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134100100 Individual Practitioner Male Practitioner

Dr. Charles Dougherty , MD

Pediatrics • Saint Louis, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Charles Dougherty, MD is a registered healthcare professional specializing in Pediatrics in Saint Louis, MO. Official NPI practice address is registered at 13303 TESSON FERRY RD.

Practice Location & Contact Primary Location

Practice Address

13303 Tesson Ferry Rd

Saint Louis, MO 631284062

Telephone 3148425239
Fax 3148423835
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
461 Specialists

Practicing in Saint Louis, MO (1616 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO R6070

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ghp
40420 (MO)
Commercial Insurance / Payer ID Bcb
17699 (MO)
Commercial Insurance / Payer ID Uhc
1200163 (MO)
Commercial Insurance / Payer ID Aetna
40000261 (MO)
Commercial Insurance / Payer ID Healthlink
100732 (MO)
Commercial Insurance / Payer ID Healthcare Usa
5724V34311 (MO)

Practice Associates & Co-Workers

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

10 Associated Practitioners
NPI 1013998525

Doctor of Medicine (M.D.)

NPI 1023099694

Doctor of Medicine (M.D.)

Karen Diehl , CPNP

Nurse Practitioner - Pediatrics

NPI 1124126164

Certified Pediatric Nurse Practitioner

Dr. Michael Fedak , MD

Internal Medicine

NPI 1174514384

Doctor of Medicine (M.D.)

Dr. Elizabeth Remus , MD

Internal Medicine

NPI 1194954099

Doctor of Medicine (M.D.)

Carissa Reask , CPNP

Nurse Practitioner - Pediatrics

NPI 1205725199

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2012

Registered at 13303 TESSON FERRY RD, SAINT LOUIS, MO 631284062 (Tel: 3148425239)

📍
Updated Business Mailing Address September 21, 2012

Registered at PO BOX 23340, SAINT LOUIS, MO 631563340 (Tel: 3148425239)

👤
Provider Name / Credentials Updated September 21, 2012

Recorded as CHARLES DOUGHERTY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2012

Pediatrics (License #R6070 in MO)

🟢
Initial NPI Registration & Enumeration November 08, 2005

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: 1134100100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: September 21, 2012
Sole Proprietor: No

Mailing Address

Po Box 23340

Saint Louis, MO 631563340

Phone: 3148425239

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.