Healthcare Provider Details

I. General information

NPI: 1528039310
Provider Name (Legal Business Name): DAVID D MCCARTHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5264 LEE RD
MAPLE HEIGHTS OH
44137-1232
US

IV. Provider business mailing address

5264 LEE RD
MAPLE HEIGHTS OH
44137-1232
US

V. Phone/Fax

Practice location:
  • Phone: 216-294-4440
  • Fax: 216-249-6032
Mailing address:
  • Phone: 216-294-4440
  • Fax: 216-249-6032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35063165
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: