Provider Demographics
NPI:1427088871
Name:JEFFREY J. MCCARTNEY , M.D.PA
Entity type:Organization
Organization Name:JEFFREY J. MCCARTNEY , M.D.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-263-7577
Mailing Address - Street 1:720 GOODLETTE RD N
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5656
Mailing Address - Country:US
Mailing Address - Phone:239-263-7577
Mailing Address - Fax:239-236-7160
Practice Address - Street 1:720 GOODLETTE RD N
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5656
Practice Address - Country:US
Practice Address - Phone:239-263-7577
Practice Address - Fax:239-236-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME392052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4740610002OtherCIGNA
FL79654OtherBCBS OF FLORIDA
FL79654Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
FLD58875Medicare UPIN