Annie Mae Coyer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008118 Issued in MD

Practice address

627 N. Main St
Greensboro, MD 21629

Phone

(410) 482-9148

Fax

(833) 914-0405

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Annie Mae O'Connor Former name

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annie.coyer.1@20853.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599

  MD

  Medicare reassignment NPD
• Bayhealth Medical Center, Inc.

  • Emergency Medicine Physician
  • Dover, DE
  • NPI 1679072144

  DE

  Medicare reassignment NPD
• Bayhealth Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dover, DE
  • NPI 1073012696

  DE

  Medicare reassignment
• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867

  DE, MD

  Medicare reassignment
• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
  • NPI 1306678537
  NPD
• Bayhealth Medical Center, Inc

  • Gastroenterology Physician
  • Milford, DE
  • NPI 1639938525
  NPD
• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1881367332
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1851748024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N. MAIN ST",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "21629",
            "telephone_number": "410-482-9148",
            "fax_number": "833-914-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N. MAIN ST",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "21629",
            "telephone_number": "410-482-9148",
            "fax_number": "833-914-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013530",
            "country_code": "US",
            "telephone_number": "302-744-6156",
            "fax_number": "302-735-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYER",
        "first_name": "ANNIE",
        "middle_name": "MAE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001069",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "O'CONNOR",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Choptank Community Health System Inc
• Choptank Community Health System Inc
• Choptank Recovery LLC
• Choptank Wellness
• Michele Clough, RPH
• Xaviera Curtis
• Gingerly Supportive Home Care LLC
• Danielle Gravelle
• Greensboro Pharmacy, Inc.
• Health on Wheel Corporation

• All providers in Greensboro, MD
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.