Healthcare Provider Details

I. General information

NPI: 1538735352
Provider Name (Legal Business Name): ELIZABETH BERRYLIN MCCARTY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6041 WALLACE ROAD EXT STE 110
WEXFORD PA
15090-7471
US

IV. Provider business mailing address

5205 PENN AVE
PITTSBURGH PA
15224-1730
US

V. Phone/Fax

Practice location:
  • Phone: 412-321-7047
  • Fax:
Mailing address:
  • Phone: 412-613-6389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License NumberMD494635
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: