Organization Active NPI

Shannon McCarthy MD Inc

  • Cardiovascular Disease Physician
  • Merrillville, IN
National Provider Identifier
1467623066
Registry record updated Mar 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01031401A Issued in IN
Legal business name
SHANNON MCCARTHY MD INC
Practice address
9001 Broadway
Suite D
Merrillville, IN 46410-7041
Phone
(219) 769-4371
Fax
(219) 756-4610
NPI assigned
Mar 22, 2008
Last updated
Mar 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2008

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

Authorized official

Name
Dr. Shannon K McCarthy, MD
Title
President
Phone
(219) 769-4371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 01031401A IN Primary

Addresses

Primary practice location

9001 Broadway
Suite D
Merrillville, IN 46410-7041

Mailing address

9001 Broadway
Suite D
Merrillville, IN 46410-7041
Phone (219) 769-4371

National Provider Directory

National Provider Directory

Locations

9001 Broadway
Ste D
Merrillville, IN 46410
Phone (219) 769-4371

NPI Registry JSON

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206144000000",
    "number": "1467623066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 BROADWAY",
            "address_2": "SUITE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107041",
            "telephone_number": "219-769-4371",
            "fax_number": "219-756-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 BROADWAY",
            "address_2": "SUITE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107041",
            "telephone_number": "219-769-4371",
            "fax_number": "219-756-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON MCCARTHY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01031401A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; 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.