Provider Demographics
NPI:1093846271
Name:MCCAUGHEY, MOLLY KATHLEEN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:KATHLEEN
Last Name:MCCAUGHEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:KATHLEEN
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1111 DUFF AVENUE
Mailing Address - Street 2:MCFARLAND CLINIC, PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-2155
Mailing Address - Fax:515-239-2050
Practice Address - Street 1:3815 STANGE RD
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3914
Practice Address - Country:US
Practice Address - Phone:515-956-4044
Practice Address - Fax:515-956-4075
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001763363A00000X
OH2925363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00389985OtherRAILROAD MEDICARE
IAI19561Medicare PIN
IAI19542Medicare PIN
IAP00389985OtherRAILROAD MEDICARE