Active NPI
Medford McCoy MD PA
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
National Provider Identifier
1669780698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E6139
- Legal business name
- MEDFORD MCCOY MD PA
- Practice address
- 9440 Poppy Dr
Pathology Lab
Dallas, TX 75218-3652 - Phone
- (214) 324-6396
- NPI assigned
- Sep 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Medford McCoy, MD
- Title
- President
- Phone
- (214) 324-6396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E6139 | TX | Primary |
Addresses
Primary practice location
9440 Poppy Dr
Pathology Lab
Dallas, TX 75218-3652
Mailing address
4710 Byron Ave
Dallas, TX 75205-3252
Other names 1
- Pathology Consultants of Dallas
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285286400000",
"number": "1669780698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 BYRON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9440 POPPY DR",
"address_2": "PATHOLOGY LAB",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183652",
"telephone_number": "214-324-6396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFORD MCCOY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "MEDFORD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-324-6396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "E6139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathology Consultants of Dallas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.