Kevin McCoyd, M.D.,FAAN

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036-054447 Issued in IL

Practice address

255 W 1St St
Elmhurst, IL 60126-2643

Phone

(630) 530-4449

Fax

(630) 530-4557

NPI assigned

Aug 21, 2006

Last updated

Jul 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elmhurst Memorial Hospital

  dba Endeavor Health Elmhurst Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1093821290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601268348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262643",
            "telephone_number": "630-530-4449",
            "fax_number": "630-530-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOYD",
        "first_name": "KEVIN",
        "credential": "M.D.,FAAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-054447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054447",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephany Lynne Mazur, M.D.
• Nakia J McAdoo, APN-CRNA
• Christina Louise McBride
• Nicholas James McCabe, M.S.CCC-SLP/L
• Michele M McClory, APN-CNP
• Kortney McCulfor
• Charles McDowell
• Christina F McEnery, APRN, CNP
• John A McGann, M.D.
• Kaitlyn E McGlynn, DPT

• Neurology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; 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.