Active NPI
Alexandra McCarthy, PA-C
- Medical Physician Assistant
- Erie, PA
National Provider Identifier
1245748656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA059665
- Practice address
- 4022 Zuck Rd
Erie, PA 16506-4592 - Phone
- (814) 877-5424
- Fax
- (814) 877-5423
- NPI assigned
- Jan 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA059665 | PA | Primary |
Addresses
Primary practice location
4022 Zuck Rd
Erie, PA 16506-4592
Mailing address
5433 State Route 113
Bellevue, OH 44811-9708
Other practice location 1
5433 State Route 113
Bellevue, OH 44811-9708
Phone (419) 483-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059665 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1245748656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5433 STATE ROUTE 113",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 ZUCK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064592",
"telephone_number": "814-877-5424",
"fax_number": "814-877-5423"
}
],
"practiceLocations": [
{
"address_1": "5433 State Route 113",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "OH",
"postal_code": "448119708",
"country_code": "US",
"telephone_number": "419-483-2403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY",
"first_name": "ALEXANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA059665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.