Individual provider Active NPI

Maureen McCarthy, PA

  • Medical Physician Assistant
  • Hartford, CT
National Provider Identifier
1861597783
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0000111 Issued in CT
Practice address
100 Retreat Ave
Suite 903
Hartford, CT 06106-2528
Phone
(860) 244-0148
Fax
(860) 240-7063
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000111 CT
Medical Physician Assistant 363AM0700X 0000111 CT Primary

Addresses

Primary practice location

100 Retreat Ave
Suite 903
Hartford, CT 06106-2528

Mailing address

PO Box 587
Rocky Hill, CT 06067-0587
Phone (860) 258-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000222 CT Practitioner - Physician Assistant 1759410996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0000111CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Medical CurrentSince Dec 4, 2000 Accepting new patients
Starling Physicians PLLC CurrentSince Dec 4, 2000 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

136 Berlin Rd
Cromwell, CT 06416
Phone (860) 378-8585

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

18 E Granby Rd
Granby, CT 06035
Phone (860) 653-2301

85 Seymour St
Ste 325
Hartford, CT 06106
Phone (860) 522-7181

100 Retreat Ave
Ste 903
Hartford, CT 06106
Phone (860) 244-0148

100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

184 East St
Plainville, CT 06062
Phone (860) 747-0730

2110 Silas Deane Hwy
Rocky Hill, CT 06067

209 Main St
Southington, CT 06489
Phone (860) 329-0401

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

Interoperability endpoints

  • Direct secure messaging: maureen.mccarthy@xdr.hhchealthdirect.org

Organizations & group practices 3

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1861597783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670587",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "SUITE 903",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062528",
            "telephone_number": "860-244-0148",
            "fax_number": "860-240-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MAUREEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000111",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "0000111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.