DR. GARY S MCCOY (NPI# 1245200039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245200039 |
| Entity Type | Individual |
| Full Name | DR. GARY S MCCOY |
| Credential | DPM |
| Practice Address |
9765 San Jose Blvd Suite 104 Jacksonville FL 32257-4402 |
| Practice Telephone | 9042627087 |
| Practice Fax Number | 9042627215 |
| Mailing Telephone | 9042627087 |
| Mailing Fax Number | 9042627215 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO1996 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 040679100 | 05 | |
| FL | RAILROAD MEDICARE | 480030592 | 01 |
| FL | TAX ID | 59-3516897 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560305 | Gary Mccoy | Counselor | 5245 Gladiola St, Arvada, CO 80002-1517 | 2018-05-30 |
| 1821153461 | Gary Alan Mccoy | Chiropractor | 102 Biggs Lane, Us 23, South Shore, KY 41175-0059 | 2006-12-26 |
| Street Address |
9765 SAN JOSE BLVD SUITE 104 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741118 | Luis F Anez | Family Medicine | 9765 San Jose Blvd, Ste 102, Jacksonville, FL 32257-4402 | 2005-12-15 |
| 1073061214 | Shayne Lynne Mangalindan | Nurse Practitioner | 9765 San Jose Blvd, Ste. 102, Jacksonville, FL 32257-4402 | 2016-09-16 |
| 1992045207 | Martha G Herrera Dpm Pa | Podiatrist | 9765 San Jose Blvd, Suite 107, Jacksonville, FL 32257 | 2013-02-22 |
| 1285984104 | Martha G Herrera | Podiatrist | 9765 San Jose Blvd, Suite 107, Jacksonville, FL 32257 | 2012-09-18 |
| 1659686251 | Terri Jo Serman | Nurse Practitioner | 9765 San Jose Blvd, Ste.102, Jacksonville, FL 32257-4402 | 2010-08-09 |
| 1124283544 | Chitra Kuthiala Md Pa | Allergy & Immunology | 9765 San Jose Blvd, Suite 108, Jacksonville, FL 32257-4402 | 2008-07-24 |
| 1497919187 | Physicians Group Services Pa | Nurse Practitioner | 9765 San Jose Blvd, Suite 106, Jacksonville, FL 32257-4402 | 2008-07-11 |
| 1538347380 | Luis F Anez Md Pa | Family Medicine | 9765 San Jose Blvd, Ste 102, Jacksonville, FL 32257-4402 | 2008-02-04 |
| 1891978466 | Gary S Mccoy Dpm Pa | Durable Medical Equipment & Medical Supplies | 9765 San Jose Blvd, Suite 104, Jacksonville, FL 32257-4402 | 2007-12-06 |
| 1700898434 | Chitra Kuthiala | Allergy & Immunology | 9765 San Jose Blvd, Jacksonville, FL 32257-4402 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487146890 | First Coast Medical Network LLC | Podiatrist | 2645 Cody Dr, Jacksonville, FL 32223-5585 | 2018-05-31 |
| 1023461480 | Cynthia Correa-cedeno | Podiatrist | 14011 Beach Blvd Ste 220, Jacksonville, FL 32250-1695 | 2016-07-20 |
| 1083029698 | Norshae Robinson | Podiatrist | Total Foot Care and Wellness Clinic, 8613 Old Kings Rd South, Suite 301, Jacksonville, FL 32217-4845 | 2014-06-23 |
| 1457529976 | Earl Horowitz Dpm Pa | Podiatrist | 2236 Park St, Jacksonville, FL 32204-4316 | 2008-02-19 |
| 1992838296 | Howard G Groshell Jr. | Podiatrist | 2236 Park Street, Jacksonville, FL 32204-4316 | 2007-03-14 |
| 1356400642 | Smita Malhotra Dpm Pa | Podiatrist | 4213 Metron Dr, Jacksonville, FL 32216-1012 | 2006-12-06 |
| 1457432387 | Podiatry Associates of Florida Inc | Podiatrist | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 | 2006-10-18 |
| 1154432219 | Earl R Horowitz D P M Pa | Podiatrist | 2550 Park St, Jacksonville, FL 32204-4518 | 2006-08-31 |
| 1942319645 | Jeffrey L Burmeister | Podiatrist | 2762 Dunn Ave, Jacksonville, FL 32218-4659 | 2006-08-29 |
| 1306871827 | Theodore Joseph Piano | Podiatrist | 4142 Hanging Moss Ct, Jacksonville, FL 32257-7658 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on DR. GARY S 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.