Healthcare Provider Details

I. General information

NPI: 1609986629
Provider Name (Legal Business Name): MARGARET L MCCARTHY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET MCCARTHY ORMONDE M.D.

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 N BALLAS RD
SAINT LOUIS MO
63131-2329
US

IV. Provider business mailing address

24 SAINT ALFRED RD
OLIVETTE MO
63132-4130
US

V. Phone/Fax

Practice location:
  • Phone: 314-996-5000
  • Fax:
Mailing address:
  • Phone: 314-872-7568
  • Fax: 314-996-5611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number102058
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: