Emerald Medical Center PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301076589 Issued in MI

Legal business name

EMERALD MEDICAL CENTER PLC

Practice address

114 W Harris St
Suite B
Charlotte, MI 48813-2311

Phone

(517) 543-6555

Fax

(517) 543-6855

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ted G Coy, M.D.NPI 1740273069

Title

Owner

Phone

(517) 543-6555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: tedcoy@emc.allscriptsdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted Glenn Coy, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1740273069
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1689835217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W HARRIS ST",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132311",
            "telephone_number": "517-543-6555",
            "fax_number": "517-543-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W HARRIS ST",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132311",
            "telephone_number": "517-543-6555",
            "fax_number": "517-543-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MEDICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-543-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eaton County Health and Rehabilitation Services
• Eaton County Health and Rehabilitation Services (Wellness 101)
• Eaton Intermediate School District
• Jessica Edel, PH.D., CBD, PCD
• Samuel Brook Ellis
• Eye Care Associates of Charlotte PLLC
• Dana Johanna Falardeau
• Falik Family Dentistry
• Robert Charles Falik, D.D.S.
• Alexander Falsetta

• Internal Medicine Physician in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.