Provider Demographics
NPI:1184694333
Name:MCCARTY, MATTHEW J (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:MCCARTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1915 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916
Mailing Address - Country:US
Mailing Address - Phone:865-541-1720
Mailing Address - Fax:865-541-2640
Practice Address - Street 1:220 BMH CANCER CENTER
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804
Practice Address - Country:US
Practice Address - Phone:865-977-1065
Practice Address - Fax:865-982-8538
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2010-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN30053207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3819649Medicaid
G65111Medicare UPIN
3819649Medicare ID - Type Unspecified