Provider Demographics
NPI:1861482515
Name:MCCARTHY, FRANCIS MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:MICHAEL
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:M
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:701 LUKE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-9643
Mailing Address - Country:US
Mailing Address - Phone:252-482-5011
Mailing Address - Fax:252-482-0390
Practice Address - Street 1:701 LUKE ST
Practice Address - Street 2:SUITE C
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9643
Practice Address - Country:US
Practice Address - Phone:252-482-5011
Practice Address - Fax:252-482-0390
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39299174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0187VOtherBLUE CROSS BLUE SHIELD
NC890187VMedicaid
NCF64561Medicare UPIN
NC0187VOtherBLUE CROSS BLUE SHIELD