Provider Demographics
NPI:1205012309
Name:MCCARY, ALEXIS GORDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:GORDEN
Last Name:MCCARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:LINGVERE
Other - Last Name:GORDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1221 MERCANTILE LANE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774
Mailing Address - Country:US
Mailing Address - Phone:301-618-5500
Mailing Address - Fax:301-618-5978
Practice Address - Street 1:1221 MERCANTILE LANE
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774
Practice Address - Country:US
Practice Address - Phone:301-618-5500
Practice Address - Fax:301-618-5978
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0068388207R00000X, 207RG0100X
NY246644207R00000X
MD068388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine