Medcoy Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS2972 Issued in FL

Legal business name

MEDCOY INC

Doing business as

Ft McCoy Medical Center

Practice address

11512 E County Road 316
Ft McCoy, FL 32134-2220

Phone

(352) 236-2525

Fax

(352) 236-8610

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George F Graves, D.O

Title

President

Phone

(352) 236-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ft McCoy Medical Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy Cook, ARNP

  • Nurse Practitioner
  • The Villages, FL
  • NPI 1518952753
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1366604431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 E COUNTY ROAD 316",
            "address_2": "PO BOX 2220",
            "city": "FORT MC COY",
            "state": "FL",
            "postal_code": "321342220",
            "telephone_number": "352-236-2525",
            "fax_number": "325-236-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 E COUNTY ROAD 316",
            "city": "FT MCCOY",
            "state": "FL",
            "postal_code": "321342220",
            "telephone_number": "352-236-2525",
            "fax_number": "352-236-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-236-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS2972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049466600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft McCoy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Internal Medicine

• Family Medicine Physician in Ft McCoy, FL
• Providers in Ft McCoy, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.