McCoy Medical Group LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

MCCOY MEDICAL GROUP LLC

Practice address

7100 W 20TH Ave Ste 515
Hialeah, FL 33016-1824

Phone

(786) 644-5248

Fax

(786) 644-5475

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Andrew McCoy

Title

Owner

Phone

(703) 434-0515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1700403219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16590 NE 26TH AVE APT 502",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604072",
            "telephone_number": "703-434-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 515",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161824",
            "telephone_number": "786-644-5248",
            "fax_number": "786-644-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-434-0515"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC ABA Support Corp
• MC Research Inc
• Kym McCabe, PH.D.
• Casey McCarthy
• Patricia Hernilda McCown, M.S. CCC-SLP
• Bianca Rosa McCoy, MS
• Karina Isabel McCoy, PSY.D
• MCDS Home Health Group, Corp.
• Gaven Marshall McGee
• Kimberly McGrath

• Podiatric Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.