Renee McCoy, M.D., PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

26362 Issued in AZ

Legal business name

RENEE MCCOY, M.D., PLLC

Practice address

294 W Hwy 89a
Cottonwood, AZ 86326-3754

Phone

(928) 634-7200

Fax

(928) 634-7200

NPI assigned

Aug 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Renee A McCoy, M.D.

Title

Ceo

Phone

(928) 634-4200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1053627745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W HWY 89A STE 114",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263763",
            "telephone_number": "928-634-4200",
            "fax_number": "928-634-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W HWY 89A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263754",
            "telephone_number": "928-634-7200",
            "fax_number": "928-634-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE MCCOY, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-634-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "26362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.