Provider Demographics
NPI:1861599581
Name:NEUROLOGICAL ASSOCIATES OF CAPE COD P.C.
Entity type:Organization
Organization Name:NEUROLOGICAL ASSOCIATES OF CAPE COD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-771-2198
Mailing Address - Street 1:119 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3011
Mailing Address - Country:US
Mailing Address - Phone:508-771-2198
Mailing Address - Fax:508-865-1109
Practice Address - Street 1:119 CEDAR ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3011
Practice Address - Country:US
Practice Address - Phone:508-771-2198
Practice Address - Fax:508-865-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2030012Medicaid
MAM18976OtherBLUE SHIELD
MAE02119Medicare UPIN
MAM21723Medicare ID - Type UnspecifiedMEDICARE