KATHLEEN MARIE MCCOY (NPI# 1134209943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134209943 |
Entity Type | Individual |
Full Name | KATHLEEN MARIE MCCOY |
Credential | RDMS, BS |
Practice Address |
1819 Carew St Fort Wayne IN 46805-4705 |
Mailing Address |
309 Grove St Albion IN 46701-1089 |
Practice Telephone | 2604814785 |
Mailing Telephone | 2606363316 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
12343 | IN | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881241388 | Kathleen Lynne Mccoy | Marriage & Family Therapist | 6450 W Willow Way, Florence, AZ 85132-6400 | 2019-08-20 |
1083735674 | Kathleen Mccoy | Licensed Practical Nurse | 306 W Pike St, South Lebanon, OH 45065-1243 | 2007-04-02 |
1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
1144680752 | Kathleen R Mccoy | Social Worker | 40722 State Route 154, Lisbon, OH 44432-8500 | 2016-02-25 |
1720453335 | Kathleen Mccoy | Case Manager/Care Coordinator | 4050 Central Ave, St Petersburg, FL 33711-1239 | 2015-12-08 |
1487098406 | Kathleen Mccoy | Pharmacist | 1650 30th St, Boulder, CO 80301-1014 | 2013-04-21 |
1679719926 | Kathleen Mccoy | Nurse Practitioner | 4500 Williams Dr, Georgetown, TX 78633-1332 | 2008-12-16 |
1720243553 | Kathleen Judith Mccoy | Pharmacist | 519 Penn Ave, Pittsburgh, PA 15222-3208 | 2008-07-21 |
1720107410 | Kathleen M Mccoy | Registered Nurse | 201 East Green St, Ithaca, NY 14850 | 2007-03-27 |
1235157918 | Kathleen Mccoy | Nurse Practitioner | 446 Metroplex Dr, Suite 1a, Nashville, TN 37211-3139 | 2006-07-18 |
Street Address |
1819 CAREW ST |
City | FORT WAYNE |
State | IN |
Zip Code | 46805-4705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568464972 | Raymond E Dusman Jr. | Internal Medicine | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2005-08-15 |
1396345492 | Brandon Capalbo | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-28 |
1124626718 | Madeline Alexander | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-15 |
1083211395 | Aaron Oscar Peterson | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-08 |
1871109603 | Megan N Hargett | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-17 |
1790391571 | Laynie Lyn Mason | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-17 |
1275147423 | Erin Marie Barnum | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-04 |
1205449345 | Christopher Paul Thompson | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-28 |
1871106245 | Sarrina Patel | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
1053924415 | Tanner Stippich | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
Find all providers in zip 46805 |
Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972881910 | Kimberly Steele-mcneal | Spec/Tech, Cardiovascular | 10920 Kilworth Ct, Indianapolis, IN 46235-3580 | 2011-07-25 |
1093261992 | Millennium Ultrasound LLC | Spec/Tech, Cardiovascular | 1149 Polk St, Gary, IN 46407-1120 | 2016-08-30 |
City | FORT WAYNE |
Zip Code | 46805 |
Please comment or provide details below to improve the information on KATHLEEN MARIE MCCOY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.