Jill F McCoy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD426175 Issued in PA

Practice address

5 Morgan Hwy Ste 6
Scranton, PA 18508-2641

Phone

(570) 558-7410

Fax

(570) 207-4287

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jillm@pak.pcc-direct.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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868

  PA

  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Avis, PA
  • NPI 1053827691
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Pediatric Associates of Kingston, LLC

  • Pediatrics Physician
  • Kingston, PA
  • NPI 1831201276

  Pediatrics

  NPD (past)
• Physicians Health Alliance Inc

  • Infectious Disease Physician
  • Scranton, PA
  • NPI 1689976730
  NPD (past)
• Scranton Quincy Clinic Company LLC

  • Obstetrics & Gynecology Physician
  • Scranton, PA
  • NPI 1346527744
  NPD (past)
• Scranton Quincy Clinic Company LLC

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1508143074

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1881662575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY STE 6",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-558-7410",
            "fax_number": "570-207-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JILL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101342247",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taniecia Nicole McClennon, MSW,LSW
• Marvin McCloe
• Kylie McColligan-Oleski, PSY.D.
• Jordan McCool
• Patricia A McCormack, MD
• Emily McDonald, LPC
• Amanda McDonnell, MA, NCC, LPC
• Ian McDonnell
• Shauna McDonnell
• Anna Calvey McDonough, PA-C

• All providers in Scranton, PA
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.