Provider Demographics
NPI:1508540535
Name:MECAROVA, KATARINA
Entity Type:Individual
Prefix:
First Name:KATARINA
Middle Name:
Last Name:MECAROVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 HOSPITAL DR STE 140
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2858
Mailing Address - Country:US
Mailing Address - Phone:740-566-4720
Mailing Address - Fax:740-566-4721
Practice Address - Street 1:75 HOSPITAL DR STE 140
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2858
Practice Address - Country:US
Practice Address - Phone:740-566-4720
Practice Address - Fax:740-566-4721
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant