Active NPI
Conor William Coyne, M.D.
- Emergency Medicine Physician
- Pittsfield, MA
National Provider Identifier
1508220260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 282665
- Practice address
- 725 North St
Pittsfield, MA 01201-4109 - Phone
- (413) 447-2834
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 282665 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 63701 | NY |
Addresses
Primary practice location
725 North St
Pittsfield, MA 01201-4109
Mailing address
725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2834
Other practice location 1
47 New Scotland Avenue, Dept. Of Emergency Medicine
Albany, NY 12208-3412
Phone (518) 262-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63701 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| North Adams Regional Hospital Corporation | Current | Accepting new patients | |
| North Adams Regional Hospital Corporation | Current | Accepting new patients |
Locations
71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- North Adams, MA
- NPI 1316727761
-
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1508220260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014109",
"telephone_number": "413-447-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014109",
"telephone_number": "413-447-2834"
}
],
"practiceLocations": [
{
"address_1": "47 New Scotland Avenue, Dept. Of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083412",
"country_code": "US",
"telephone_number": "518-262-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYNE",
"first_name": "CONOR",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "282665",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "63701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.