Organization Active NPI

Coyness L. Ennix Jr., M.D., Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oakland, CA
National Provider Identifier
1689832610
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C39990 Issued in CA
Legal business name
COYNESS L. ENNIX JR., M.D., INC.
Practice address
3300 Webster St
Suite 404
Oakland, CA 94609-3117
Phone
(510) 465-5500
Fax
(510) 835-2682
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Coyness Loyal Ennix Jr., M.D.
Title
President
Phone
(510) 465-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X C39990 CA Primary

Addresses

Primary practice location

3300 Webster St
Suite 404
Oakland, CA 94609-3117

Mailing address

3300 Webster St
Suite 404
Oakland, CA 94609-3117
Phone (510) 465-5500

National Provider Directory

National Provider Directory

Locations

3300 Webster St
Ste 404
Oakland, CA 94609
Phone (510) 465-5500

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1689832610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 404",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-465-5500",
            "fax_number": "510-835-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 404",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-465-5500",
            "fax_number": "510-835-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COYNESS L. ENNIX JR., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ENNIX",
        "authorized_official_first_name": "COYNESS",
        "authorized_official_middle_name": "LOYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-465-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C39990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.