Rene Lunday McCarty, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01101 Issued in TX

Practice address

825 Medical Dr
Tyler, TX 75701-2143

Phone

(903) 597-2273

Fax

(903) 597-2466

NPI assigned

Jul 5, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 11, 2016 through Feb 11, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Texas Medical Center Healthcare Associates

  dba East Texas Emergency Physicians

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1699719872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194722231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012143",
            "telephone_number": "903-597-2273",
            "fax_number": "903-597-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012143",
            "telephone_number": "903-597-2273",
            "fax_number": "903-597-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "RENE",
        "middle_name": "LUNDAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy McCabe, LPC
• Mark E McCabe
• Christina McCall
• Jessica McCallum
• Channing Keely McCarty
• David M McCaskill, FNP-C, ACNP
• Justin McCaslin, M.D.
• Jacob Clay McClain, COTA
• Bruce Patrick McClellan, C.P.O.
• Cynthia McClellan, NP

• Physician Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.