Jack R McCoy

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

JACK R MCCOY

Doing business as

Meadow Springs of Greenwood, LLC

Practice address

3100 Meridian Parke Dr
Greenwood, IN 46142-9427

Phone

(765) 883-9426

Fax

(765) 884-9221

NPI assigned

Feb 27, 2015

Organization subpart

No

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

Authorized official

Name

Jack McCoy

Title

Owner

Phone

(765) 414-4789

Specialties & licenses 1

Addresses

Other names 1

• Meadow Springs of Greenwood, LLC Doing business as

Tax ID family

Jack R McCoy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack R McCoy

  • Hearing Aid Equipment
  • Lafayette, IN
  • NPI 1821480807
  NPD tax ID

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1649662628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S 150 W",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098909",
            "telephone_number": "765-414-4789",
            "fax_number": "405-603-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MERIDIAN PARKE DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429427",
            "telephone_number": "765-883-9426",
            "fax_number": "765-884-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK R MCCOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-414-4789"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Springs of Greenwood, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Justine Irvin
• Leslie Suzanne Isaacs, FNP-C
• Roland Lee Isaacs, ACNP-BC
• Kameron Deion Ivory
• Jennifer Diana Izquierdo Arce
• Jackson Laboratory LLC
• Jackson Periodontics
• Jordan Michelle Jackson, MA
• Kamari Jackson, RBT
• Kristin M Jackson, D.D.S., M.S.D.

• Hearing Aid Equipment in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Hearing Aid Equipment in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.