DR. MARY J MCCOY (NPI# 1174630636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174630636 |
| Entity Type | Individual |
| Full Name | DR. MARY J MCCOY |
| Credential | MD |
| Practice Address |
6901 W Edgerton Ave Milwaukee WI 53220 |
| Mailing Address |
6901 W Edgerton Ave Milwaukee WI 53220-4420 |
| Practice Telephone | 4144218400 |
| Practice Fax Number | 4144219957 |
| Mailing Telephone | 4144218400 |
| Mailing Fax Number | 4144235174 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34855 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32076300 | 05 | |
| DEA NUMBER | BM2447072 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198485 | Mary J'anice Mccoy | Occupational Therapy Assistant | 1345 Mears Dr, Colorado Springs, CO 80915-2147 | 2018-09-20 |
| 1053394387 | Mary Joette Mccoy | Dental Assistant | 16 Mills Ave, Unit #5, Greenville, SC 29605-4070 | 2005-11-21 |
| 1306841069 | Mary Ann Mccoy | Specialist | 38209 47th St E Ste C, Palmdale, CA 93552-3113 | 2005-06-17 |
| 1073070660 | Mary Carol Mccoy | Case Manager/Care Coordinator | 424 Lawrence St, Ironton, OH 45638-1474 | 2019-03-01 |
| 1609369289 | Mary Mccoy | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-06-08 |
| 1336640440 | Mary E Mccoy | Speech-Language Pathologist | 8270 Willow Oaks Co Dr Ste 2131, Fairfax, VA 22031-4511 | 2018-02-23 |
| 1730621376 | Mary Mccoy | Physical Therapist | 1719 Main St, Lake Como, NJ 07719-3097 | 2016-11-14 |
| 1689126955 | Mary Mccoy | Nurse Practitioner | 300 E Nolana Loop, Pharr, TX 78577-9684 | 2016-11-02 |
| 1831642776 | Mary Beth Mccoy | Nurse Practitioner | 207 Oak Park, Mcminnville, TN 37110-1336 | 2016-07-27 |
| 1518264761 | Mary Margaret Mccoy | Physician Assistant | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2011-02-24 |
| Street Address |
6901 W EDGERTON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193744 | Matthew Eugene Bantz | Pharmacist | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2020-01-16 |
| 1578929246 | Robert John Udhardt | Pharmacist | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2016-01-11 |
| 1972943744 | Shahid Ali Shigri | Family Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2013-06-26 |
| 1740469568 | Donald Arthur Strahl | Pharmacist | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2007-10-29 |
| 1003024951 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2007-05-21 |
| 1316089477 | Della H Alvarez | Nurse Practitioner | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2007-02-13 |
| 1609983816 | Wayne B Spradley | Internal Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-24 |
| 1821105040 | Susan F Stickels | Family Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-24 |
| 1922115484 | Paul C Maurer | Chiropractor | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-23 |
| 1508973132 | Kim C. Sienko | Nurse Practitioner | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730679804 | Vicki Milroy | Family Medicine | 2778 S 35th St Ste 102, Milwaukee, WI 53215-3578 | 2018-05-15 |
| 1376050450 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5233 S 27th St, Milwaukee, WI 53221-3764 | 2018-01-10 |
| 1427565548 | Independent Physicians of Wisconsin, LLC | Family Medicine | 3201 S 16th St Ste 2020, Milwaukee, WI 53215-4532 | 2018-01-10 |
| 1962932970 | Mary Kuder | Family Medicine | 176 N Broadway, Milwaukee, WI 53202-6015 | 2017-06-13 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1598296212 | Leslie J Rabaut | Family Medicine | 2801 W Kk River Pkwy Ste 250, Milwaukee, WI 53215-3678 | 2017-03-23 |
| 1871975920 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216-2298 | 2015-06-25 |
| 1952717928 | Mobile Medical Clinic, Inc | Family Medicine | 2418 W Edgerton Ave, Milwaukee, WI 53221-3412 | 2014-07-10 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1376897413 | Sandra Kathleen Mahkorn | Family Medicine | 3050 S Superior St, Milwaukee, WI 53207-3064 | 2012-10-26 |
| Find all providers in MILWAUKEE | ||||
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| 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.