Provider Demographics
NPI:1841439494
Name:MCCARTHY, PATRICIA ANN (PA)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33672 BAYVIEW MEDICAL DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1687
Mailing Address - Country:US
Mailing Address - Phone:302-645-2437
Mailing Address - Fax:833-629-0820
Practice Address - Street 1:33664 BAYVIEW MEDICAL DR UNIT 203
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1933
Practice Address - Country:US
Practice Address - Phone:302-645-1099
Practice Address - Fax:302-645-0130
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC07070363AS0400X
DEC5-0011428363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical