DR. MARYCLARE KEARNS MCCARTHY (NPI# 1124076096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124076096 |
Entity Type | Individual |
Full Name | DR. MARYCLARE KEARNS MCCARTHY |
Credential | M.D. |
Practice Address |
4010 W 65th St Edina MN 55435-1706 |
Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
Practice Telephone | 9528350750 |
Practice Fax Number | 9528350662 |
Mailing Telephone | 9525125600 |
Mailing Fax Number | 9525125651 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2012-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
39380 | MN | Allopathic & Osteopathic Physicians |
Street Address |
4010 W 65TH ST |
City | EDINA |
State | MN |
Zip Code | 55435-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
1164029419 | Carli Marie Walker | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-08 |
1740897016 | Emily Louise Langan | Nurse Practitioner | 4010 W 65th St, Edina, MN 55435-1706 | 2020-09-30 |
1922657501 | Chase William Hanson | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-09-06 |
1427610120 | Megan Lee Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-07-02 |
1902384159 | Kathleen Ann Heimer | Occupational Therapist | 4010 W 65th St, Edina, MN 55435 | 2018-07-31 |
1730673757 | Kaitlin Rose Peterson | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2018-06-22 |
1548761729 | Kaitlyn Ann Lindahl | Occupational Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2018-02-23 |
1386161552 | Breanna Nicole Smith | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2017-08-28 |
1891218095 | Christopher Andrew Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2017-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538359757 | Adam Jess Bakker | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2007-07-25 |
1063425494 | Douglas Albert Drake | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-08-15 |
1386655629 | David Gesensway | Orthopaedic Surgery | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-08-11 |
1154332401 | Mark A Urban | Orthopaedic Surgery | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2006-08-11 |
1992753537 | Laura Depfer Koch | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831493733 | Peter J. Strand | Orthopaedic Surgery | 16943 Miller Ln, Deerwood, MN 56444-8570 | 2011-01-06 |
1659581627 | Christina M Ward | Orthopaedic Surgery | 401 Phalen Blvd - Ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-05-22 |
1447322011 | Steven Demetrious Meletiou | Orthopaedic Surgery | 3545 Highway 61 N, Vadnais Heights, MN 55110-5223 | 2006-11-15 |
1952701187 | Ali Izadpanah | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-08-25 |
1942620687 | Eric Rohman | Orthopaedic Surgery | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2014-04-21 |
1215358346 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2013-12-16 |
1922341932 | John Patrick Delaney | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2013-03-28 |
1447506183 | Nina Suh | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-31 |
1316265499 | Jennifer Kay Wozniczka | Orthopaedic Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2010-05-13 |
1912232745 | Tod Andrew Clark | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-10-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.