Provider Demographics
NPI:1215067020
Name:DR. DOROTHY A. MCCARTHY,P.C.
Entity type:Organization
Organization Name:DR. DOROTHY A. MCCARTHY,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTHY-CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:617-361-1114
Mailing Address - Street 1:1150 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2917
Mailing Address - Country:US
Mailing Address - Phone:617-361-1114
Mailing Address - Fax:617-361-3297
Practice Address - Street 1:1150 RIVER ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2917
Practice Address - Country:US
Practice Address - Phone:617-361-1114
Practice Address - Fax:617-361-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA1530213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1215067020OtherNPI
MA9748385Medicaid
MA9748385Medicaid
3856240001Medicare NSC