Provider Demographics
NPI:1497710370
Name:MCCARTHY, HILDRETH B (MD)
Entity Type:Individual
Prefix:
First Name:HILDRETH
Middle Name:B
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 1:4224 HOUMA BLVD
Mailing Address - Street 2:SUITE 540
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2933
Mailing Address - Country:US
Mailing Address - Phone:504-456-5108
Mailing Address - Fax:504-456-5109
Practice Address - Street 1:4224 HOUMA BLVD
Practice Address - Street 2:SUITE 540
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2933
Practice Address - Country:US
Practice Address - Phone:504-456-5108
Practice Address - Fax:504-456-5109
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06584R208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5M277Medicare ID - Type Unspecified
LA5M277B848Medicare PIN
B61739Medicare UPIN
LA5M277CE04Medicare PIN