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NPI Code Detail

MEDICARE: DR. MOLLY MCCARTHY WALSH M.D.

MEDICARE: DR. MOLLY MCCARTHY WALSH 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
1207WX0009XGlaucoma Specialist (Ophthalmology) Physician200400616NC
2207W00000XOphthalmology Physician2004-00616NC
3207W00000XOphthalmology Physician01085122AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891875985
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOLLY MCCARTHY WALSH M.D.
Provider Business Mailing Address
First Line : 230 E DAY RD STE 100
Second Line :
City : MISHAWAKA
State : IN
Zip : 46545-3408
Country : US
Telephone Number : 574-271-3939
Fax Number : 574-271-3941
Provider Business Practice Location Address
First Line : 2170 MIDLAND RD
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-2999
Country : US
Telephone Number : 910-295-2100
Fax Number : 910-295-3625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 10/07/2025

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