Individual provider Active NPI

Amber Lee Coy, COT, OSA

  • Surgical Assistant
  • Canton, OH
National Provider Identifier
1790597284
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
166670 Issued in OH
Practice address
4319 Executive Cir NW
Canton, OH 44718-2999
Phone
(330) 526-0530
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 166670 OH Primary

Addresses

Primary practice location

4319 Executive Cir NW
Canton, OH 44718-2999

Mailing address

2380 Saga Cir NE
East Canton, OH 44730-1832
Phone (333) 304-5197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166670OHMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1790597284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 SAGA CIR NE",
            "city": "EAST CANTON",
            "state": "OH",
            "postal_code": "447301832",
            "telephone_number": "333-304-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 EXECUTIVE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182999",
            "telephone_number": "330-526-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "COT, OSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "OH",
            "license": "166670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.