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NPI Code Detail

MEDICARE: DR. JAMES M MCCARTY DPM

MEDICARE:  DR. JAMES M MCCARTY  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist5901001464MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21306829544OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1485505289OTHERMIBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306829544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES M MCCARTY DPM
Provider Business Mailing Address
First Line : 20905 12 MILE RD
Second Line : STE 100
City : ROSEVILLE
State : MI
Zip : 48066
Country : US
Telephone Number : 586-772-3500
Fax Number : 586-772-6540
Provider Business Practice Location Address
First Line : 20905 E 12 MILE RD
Second Line : STE 100
City : ROSEVILLE
State : MI
Zip : 48066-6501
Country : US
Telephone Number : 586-772-3500
Fax Number : 586-772-6540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 03/01/2013

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Directions to “ DR. JAMES M MCCARTY DPM” Practice Location

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