Basic Information
| Provider Information | |||||||||
| NPI: | 1881629772 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCCARTHY | ||||||||
| FirstName: | HELEN | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 453 W 10TH AVE | ||||||||
| Address2: | 246 ATWELL HALL | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432102205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142932957 | ||||||||
| FaxNumber: | 6146883700 | ||||||||
| Practice Location | |||||||||
| Address1: | 453 W 10TH AVE | ||||||||
| Address2: | 246 ATWELL HALL | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432102205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142932957 | ||||||||
| FaxNumber: | 6146883700 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/24/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | RN.126891, COA.08565 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
ID Information
| ID | Type | State | Issuer | Description | 81N881 | 01 | TX | BCBS | OTHER | 500015129 | 01 | TX | RAILROAD MEDICARE | OTHER | 039638401 | 05 | TX | MEDICAID |