Mark J. Coyle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000683 Issued in CT

Practice address

320 Pomfret St
Putnam, CT 06260-1836

Phone

(860) 928-6541

Fax

(860) 963-6368

NPI assigned

Feb 16, 2006

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

Enrolled in MA, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Putnam, CT
  • NPI 1447231865
  Medicare reassignment NPD (past)
• Nems PLLC

  • Emergency Medicine Physician
  • Meriden, CT
  • NPI 1114482882
  Medicare reassignment
• Northeast Emergency Medicine Specialists, LLC

  • Emergency Medicine Physician
  • Willimantic, CT
  • NPI 1982889598
  Medicare reassignment
• Coastal Medical Associates

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1932175684
  Medicare reassignment
• Orion Emergency Services, Inc.

  • Emergency Medicine Physician
  • Milford, MA
  • NPI 1588728240
  Medicare reassignment
• South Shore Medical Center, Inc.

  • Internal Medicine Physician
  • Norwell, MA
  • NPI 1669411856
  Medicare reassignment
• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329

  Physician Assistant

  NPD

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1376517136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849010",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-928-6541",
            "fax_number": "860-963-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "970022874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni A Cordello
• Marjorie Corker-Holzer, MD
• Clara C Costabile
• Joseph Coulanges
• Andrea T Coyle
• Michael Coyle
• Christopher Craft
• Nicole Craig
• Joseph John Creme, M.D.
• Eileen M. Cronin, PA-C

• Physician Assistant in Putnam, CT
• Providers in Putnam, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.