Healthcare Provider Details

I. General information

NPI: 1053258525
Provider Name (Legal Business Name): MCCARTY FAMILY FOOT & ANKLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 KOLBE RD
LORAIN OH
44053-1611
US

IV. Provider business mailing address

33007 LAKE RD
AVON LAKE OH
44012-1440
US

V. Phone/Fax

Practice location:
  • Phone: 440-732-0801
  • Fax: 440-960-3429
Mailing address:
  • Phone: 440-732-0801
  • Fax: 440-960-3429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: BRENDAN C MCCARTY
Title or Position: OWNER
Credential: DPM
Phone: 440-732-0801