Active NPI
Cormac Francis Coyle, MD
- Internal Medicine Physician
- Hyannis, MA
National Provider Identifier
1023030053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 81650
- Practice address
- 433 West Main St
Hyannis, MA 02601-3644 - Phone
- (508) 778-4777
- Fax
- (508) 771-9555
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 81650 | MA | Primary |
Addresses
Primary practice location
433 West Main St
Hyannis, MA 02601-3644
Mailing address
433 West Main St
Hyannis, MA 02601-3644
Phone (508) 778-4777
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110176096 | Other | RAILROAD MEDICARE | |
| 755722 | Other | TUFTS | |
| 3141632 | Medicaid | MA | |
| 043369730 | Other | FIRST HEALTH | |
| 5397231 | Other | AETNA | |
| 64907 | Other | HARVARD PILGRIM | |
| 043369730 | Other | SYSTEMS | |
| J6162 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81650 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1023030053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 WEST MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013644",
"telephone_number": "508-778-4777",
"fax_number": "508-771-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 WEST MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013644",
"telephone_number": "508-778-4777",
"fax_number": "508-771-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "CORMAC",
"middle_name": "FRANCIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "81650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110176096",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "755722",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3141632",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "043369730",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5397231",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "64907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SYSTEMS",
"identifier": "043369730",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J6162",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.