Provider Demographics
NPI:1235148248
Name:CATHCART, FRANCES MARIE (PA)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARIE
Last Name:CATHCART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:MARIE
Other - Last Name:CATHCART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:112 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-4023
Mailing Address - Country:US
Mailing Address - Phone:513-423-0739
Mailing Address - Fax:513-423-2265
Practice Address - Street 1:112 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-4023
Practice Address - Country:US
Practice Address - Phone:513-423-0739
Practice Address - Fax:513-423-2265
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104117363AS0400X
OH2652363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0186853Medicaid
OH0186853Medicaid
Q29584Medicare UPIN
NC2761853Medicare ID - Type Unspecified
NCQ29584Medicare UPIN
OHH469700Medicare PIN