Provider Demographics
NPI:1376539452
Name:MCCARTHY, MARY C (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N BLANCHARD ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4503
Mailing Address - Country:US
Mailing Address - Phone:419-427-0809
Mailing Address - Fax:419-427-2840
Practice Address - Street 1:1800 N BLANCHARD ST
Practice Address - Street 2:SUITE 121
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4503
Practice Address - Country:US
Practice Address - Phone:419-427-0809
Practice Address - Fax:419-427-2840
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-2189-M207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0941128Medicaid
OH0941128Medicaid
OHF53649Medicare UPIN