Provider Demographics
NPI:1881629772
Name:MCCARTHY, HELEN D (NP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:D
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 W 10TH AVE
Mailing Address - Street 2:246 ATWELL HALL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-2205
Mailing Address - Country:US
Mailing Address - Phone:614-293-2957
Mailing Address - Fax:614-688-3700
Practice Address - Street 1:453 W 10TH AVE
Practice Address - Street 2:246 ATWELL HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-2205
Practice Address - Country:US
Practice Address - Phone:614-293-2957
Practice Address - Fax:614-688-3700
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.126891, COA.08565363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81N881OtherBCBS
TX500015129OtherRAILROAD MEDICARE
TX039638401Medicaid
TXS61665Medicare UPIN
TX81N881Medicare PIN