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NPI Code Detail

MEDICARE: DR. CLARE L MCCARTHY MD

MEDICARE: DR. CLARE L MCCARTHY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician34482KY
2207P00000XEmergency Medicine Physician53208TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250000552OTHERKYPASSPORT GROUP #50000548
3000000275811OTHERKYBCBS OF KY GROUP NUMBER
41146096OTHERKYPASSPORT GROUP # 1172544
5000000060164OTHERKYBCBS OF KY GROUP #

General Provider Information

NPI Number : 1144225590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLARE L MCCARTHY MD
Provider Business Mailing Address
First Line : 877 JEFFERSON AVE
Second Line : ATTN: PROVIDER ENROLLMENT
City : MEMPHIS
State : TN
Zip : 38103-2807
Country : US
Telephone Number : 901-545-7302
Fax Number :
Provider Business Practice Location Address
First Line : 877 JEFFERSON AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2807
Country : US
Telephone Number : 901-545-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 08/27/2015

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