Individual provider Active NPI

David Allen McCarthy, MD

  • Family Medicine Physician
  • O'Fallon, IL
National Provider Identifier
1346242799
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-096533 Issued in IL
Practice address
310 N 7 Hills Rd
O Fallon, IL 62269-4111
Phone
(618) 624-6181
Fax
(618) 624-8314
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-096533 IL Primary

Addresses

Primary practice location

310 N 7 Hills Rd
O Fallon, IL 62269-4111

Mailing address

310 N 7 Hills Rd
O Fallon, IL 62269-4111
Phone (618) 624-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-096533ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PC Associates, LLC Family Medicine PastSince Jun 16, 1998 Accepting new patients
PC Associates, LLC Family Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1346242799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 7 HILLS RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622694111",
            "telephone_number": "618-624-6181",
            "fax_number": "618-624-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 7 HILLS RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622694111",
            "telephone_number": "618-624-6181",
            "fax_number": "618-624-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-096533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.