Provider Demographics
NPI:1821172123
Name:MCCARTEN, JOHN RILEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RILEY
Last Name:MCCARTEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-467-3314
Mailing Address - Fax:612-725-2084
Practice Address - Street 1:ONE VETERANS' DRIVE MINNEAPOLIS VAMC
Practice Address - Street 2:GERIATRIC RESEARCH EDUCATION AND CLINICAL CENTER, 11-G
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-467-3314
Practice Address - Fax:612-725-2084
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-05-31
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Provider Licenses
StateLicense IDTaxonomies
MN271662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN135526OtherUCARE
MN05-00009OtherMEDICA PRIMARY
MN1498290OtherARAZ
MN642688300Medicaid
MN694T8MCOtherBCBS
MNB697OtherCHAMPUS
MN05-00699OtherMEDICA CHOICE
MN1045660OtherPREFERRED ONE
WI34802700Medicaid
MNHP58157OtherHEALTHPARTNERS
MT0147758Medicaid
IA0599795Medicaid
MN1498290OtherARAZ
MN135526OtherUCARE