MEDICARE: DR. MARK ANTHONY MCCARTHY M.D.

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
1	207RP1001X	Pulmonary Disease Physician	021024	LA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	021024	LA
3	207R00000X	Internal Medicine Physician	021024	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	021024	OTHER	LA	MEDICAL LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558370973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ANTHONY MCCARTHY M.D.

Provider Business Mailing Address
First Line	:	2718 CADIZ ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6930
Country	:	US
Telephone Number	:	504-875-4154
Fax Number	:	504-875-4160

Provider Business Practice Location Address
First Line	:	2718 CADIZ ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6930
Country	:	US
Telephone Number	:	504-875-4154
Fax Number	:	504-875-4160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/26/2024

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