MEDICARE: MR. JAMES F DOUGHERTY P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA.0001726	CO
2	363A00000X	Physician Assistant	PA.0001726	CO

General Provider Information

NPI Number	:	1275597643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES F DOUGHERTY P.A.

Provider Business Mailing Address
First Line	:	5450 WESTERN AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-2709
Country	:	US
Telephone Number	:	303-443-2123
Fax Number	:	303-443-9497

Provider Business Practice Location Address
First Line	:	4743 ARAPAHOE AVE
Second Line	:	SUITE 100
City	:	BOULDER
State	:	CO
Zip	:	80303-1113
Country	:	US
Telephone Number	:	303-443-2123
Fax Number	:	303-443-9497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	11/09/2017

Similar Medicare Providers

1255588190 — DR. KARA DAWN BEASLEY D.O.
Practice Location Address:

4743 ARAPAHOE AVE , SUITE 202
BOULDER, CO
80303-1113

Practice Phone: 303-938-5700
Practice Fax: 303-998-0007

1215938683 — MARSDEN SCOTT BLOIS IV MD
Practice Location Address:

4743 ARAPAHOE AVE , STE 201
BOULDER, CO
80303-1113

Practice Phone: 303-442-2395
Practice Fax: 303-442-1073

1962408021 — MS. ANNA T ROE PA-C
Practice Location Address:

4743 ARAPAHOE AVE , SUITE 201
BOULDER, CO
80303-1113

Practice Phone: 303-442-2395
Practice Fax: 303-442-1073

1659339828 — DR. AKINLOLU S BECKLEY M.D.
Practice Location Address:

4743 ARAPAHOE AVE , SUITE 102
BOULDER, CO
80303-1113

Practice Phone: 303-449-3642
Practice Fax: 303-440-7299

1417994385 — JAMIE JONATHAN DOUCET MD
Practice Location Address:

4743 ARAPAHOE AVE , SUITE 201
BOULDER, CO
80303-1113

Practice Phone: 303-442-2395
Practice Fax: 303-442-1073

1346289956 — ERIC WILLIAM BUSCH PAC
Practice Location Address:

4743 ARAPAHOE AVE , STE 202
BOULDER, CO
80303-1113

Practice Phone: 303-938-5700
Practice Fax: 303-998-0007

Directions to “ MR. JAMES F DOUGHERTY P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.