Organization Active NPI

Bethany Home Care MHT LLC

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1437545456
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20023 Issued in OK
Legal business name
BETHANY HOME CARE MHT LLC
Practice address
1515 Heritage Dr
Ste 110
McKinney, TX 75069-3256
Phone
(972) 616-4932
NPI assigned
Apr 7, 2015
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Wade Thomas McCoy, MD
Title
Owner
Phone
(405) 226-7169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20023 OK Primary

Addresses

Primary practice location

1515 Heritage Dr
Ste 110
McKinney, TX 75069-3256

Mailing address

1515 Heritage Dr
Ste 110
McKinney, TX 75069-3256
Phone (972) 616-4932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1437545456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR",
            "address_2": "STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693256",
            "telephone_number": "972-616-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR",
            "address_2": "STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693256",
            "telephone_number": "972-616-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME CARE MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-226-7169",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.