=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881893162
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CATHLEEN A MCCARTHY DPM PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2007
-----------------------------------------------------
Last Update Date | 08/10/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7450 E PINNACLE PEAK RD STE 156
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-3435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-563-5115
-----------------------------------------------------
Fax | 480-563-5132
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7450 E PINNACLE PEAK RD STE 156
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-3435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-563-5115
-----------------------------------------------------
Fax | 480-563-5132
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. CATHLEEN A MCCARTHY
-----------------------------------------------------
Credential | D.P.M.
-----------------------------------------------------
Telephone | 480-563-5115
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 0644
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------