Individual provider Active NPI

Johnson Graham Coyle, M.D.

  • Emergency Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1467480608
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD025669E Issued in PA
Practice address
431 N 21St St
Camp Hill, PA 17011-2202
Phone
(717) 763-3730
Fax
(717) 763-3734
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD025669E PA Primary
Family Medicine Physician 207Q00000X MD025669E PA

Addresses

Primary practice location

431 N 21St St
Camp Hill, PA 17011-2202

Mailing address

205 Grandview Ave
Suite 210
Camp Hill, PA 17011-1708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001252 NJ Practitioner - Emergency Medicine 8022902949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD025669EPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Check - Up Center Past Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Lancaster Hma Physician Management, LLC Family Medicine Past Accepting new patients
Cardiology Diagnostic Associates, LLC Past Accepting new patients
Community Check-Up Center of South Harrisburg Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEABDD/Endpoint/AEABDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEABDD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1467480608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112202",
            "telephone_number": "717-763-3730",
            "fax_number": "717-763-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "JOHNSON",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD025669E",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025669E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.