Provider Demographics
NPI:1033198767
Name:MCCARTEN, MICHAEL D (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:MCCARTEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 PONTIAC AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4472
Mailing Address - Country:US
Mailing Address - Phone:401-781-7000
Mailing Address - Fax:401-781-0537
Practice Address - Street 1:1540 PONTIAC AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4472
Practice Address - Country:US
Practice Address - Phone:401-781-7000
Practice Address - Fax:401-781-0537
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5129207Q00000X
NH16348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3091703Medicaid
NHT400107534Medicare PIN