Healthcare Provider Details

I. General information

NPI: 1558370973
Provider Name (Legal Business Name): MARK ANTHONY MCCARTHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 CADIZ ST
NEW ORLEANS LA
70115-6930
US

IV. Provider business mailing address

2718 CADIZ ST
NEW ORLEANS LA
70115-6930
US

V. Phone/Fax

Practice location:
  • Phone: 504-875-4154
  • Fax: 504-875-4160
Mailing address:
  • Phone: 504-875-4154
  • Fax: 504-875-4160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number021024
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number021024
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number021024
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: