Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35060950 | OH |
Y | 208600000X | Surgeon | 35060950 | OH |
N | 2086S0102X | Surgical Critical Care | 35060950 | OH |
NPI | 1184680183 |
---|---|
Provider Name | Mary C Mccarthy |
First Address | Dayton, OH 45435-0001 |
Second Address | Dayton, OH 45409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 16/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0814882 | (05) | OH |
E05199 | (02) |