Provider Demographics
NPI:1033210430
Name:MCCARTHY, ANDREW DENIS (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:DENIS
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 EDWARDS FERRY RD NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2304
Mailing Address - Country:US
Mailing Address - Phone:703-777-7355
Mailing Address - Fax:
Practice Address - Street 1:1830 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-667-1828
Practice Address - Fax:540-722-6207
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT188122084N0400X
VA01012517662084N0400X
MDD00346342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024800Medicaid
MD479491501Medicaid
DC024800Medicaid