Jack R McCoy

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

JACK R MCCOY

Doing business as

Meadow Springs of Greenwood, LLC

Practice address

2049 Veterans Memorial Pkwy S
Lafayette, IN 47909-9362

Phone

(765) 464-6370

Fax

(765) 464-6267

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Jack McCoy

Title

Owner

Phone

(765) 414-4789

Specialties & licenses 1

Addresses

Other names 1

• Meadow Springs of Greenwood, LLC Doing business as

Tax ID family

Jack R McCoy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack R McCoy

  • Hearing Aid Equipment
  • Greenwood, IN
  • NPI 1649662628
  NPD tax ID

Locations

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1821480807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S 150 W",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098909",
            "telephone_number": "765-414-4789",
            "fax_number": "405-603-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 VETERANS MEMORIAL PKWY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099362",
            "telephone_number": "765-464-6370",
            "fax_number": "765-464-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK R MCCOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-414-4789"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Springs of Greenwood, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iu Health Medical Group, LLC
• Gayle Y Iwamasa, PH.D., HSPP
• J Matthew Cronkhite DDS PC
• Priit Jaagosild, MD
• Anas Jaber, MD
• Canesa Marie Jackson-Chapple
• Marcus Thurl Jacobs, LMHC, ICAC
• Sara Jacobscarter, MS
• Elissa Jaensson
• Don R Jaffe, M.D.

• Hearing Aid Equipment in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Hearing Aid Equipment in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.