Provider Demographics
NPI:1376760306
Name:MCCARTY, CAROLYN CHERYL (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:CHERYL
Last Name:MCCARTY
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Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 3212
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-3212
Mailing Address - Country:US
Mailing Address - Phone:918-392-2944
Mailing Address - Fax:844-876-0880
Practice Address - Street 1:UNM DEPT OF RADIOLOGY MSC 10 5530
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-2269
Practice Address - Fax:505-272-5821
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
NMA-1505-092085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology