DR. SIMON J. MCCOY (NPI# 1417286121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417286121 |
| Entity Type | Individual |
| Full Name | DR. SIMON J. MCCOY |
| Other Name | DR. S. JAMES MCCOY |
| Credential | D.P.M |
| Practice Address |
21540 W 11 Mile Rd Suite 150 Southfield MI 48076-3843 |
| Mailing Address |
Po Box 4839 Troy MI 48099-4839 |
| Practice Telephone | 2482136680 |
| Practice Fax Number | 8773965966 |
| Mailing Telephone | 2488246600 |
| Mailing Fax Number | 2483241477 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002343 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002343 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
21540 W 11 MILE RD SUITE 150 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639159387 | Efren Platon | Internal Medicine | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 | 2006-01-19 |
| 1659828663 | John Anthony Wise | Nurse Practitioner | 21540 W 11 Mile Rd, Ste 200, Southfield, MI 48076-3843 | 2016-09-07 |
| 1326489212 | Cynthia D Muhammad | Nurse Practitioner | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 | 2013-07-09 |
| 1295034593 | Visiting Podiatry Pllc | Podiatrist | 21540 W 11 Mile Rd, Ste 150, Southfield, MI 48076-3843 | 2011-03-25 |
| 1467765503 | Aya Omar Saeb | Internal Medicine | 21540 W 11 Mile Rd, Ste 200, Southfield, MI 48076-3843 | 2010-07-19 |
| 1639212269 | Frank Amprim | Family Medicine | 21540 W 11 Mile Rd, Suite# 200, Southfield, MI 48076-3843 | 2007-02-14 |
| 1750427159 | Shivakumar Deva | Internal Medicine | 21540 W 11 Mile Rd, Ste 200, Southfield, MI 48076-3843 | 2007-01-30 |
| 1922144948 | Linda J Tucker | Nurse Practitioner | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 | 2007-01-29 |
| 1558471326 | Ramin Rafie | Family Medicine | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 | 2006-08-30 |
| 1952369431 | Vpa PC | Emergency Medicine | 21540 W 11 Mile Rd, Ste .200, Southfield, MI 48076-3843 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| 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 |
|---|---|---|---|---|
| 1841470291 | Neil F Hertzberg Dpm | Podiatrist | 17288 W 12 Mile Rd, Southfield, MI 48076-2138 | 2007-11-13 |
| 1144333006 | Leonard Yourofsky | Podiatrist | 25811 West 12 Mile Road, Ste 205, Southfield, MI 48034 | 2006-08-16 |
| 1336179506 | Barry Bean | Podiatrist | 21721 W 11 Mile Rd, Southfield, MI 48076-3717 | 2006-07-04 |
| 1104865476 | Jason Bernard James Kurek | Podiatrist | 17515 West 9 Mile Rd, Suite 340, Southfield, MI 48075 | 2006-06-05 |
| 1538720958 | Zef Markaj | Podiatrist | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2019-06-26 |
| 1730749961 | Krista Kotzeva | Podiatrist | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2019-06-19 |
| 1821512930 | Foot & Ankle Institute of Michigan Pllc | Podiatrist | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | 2017-07-31 |
| 1306371588 | Joshua Kazdan | Podiatrist | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | 2017-04-26 |
| 1629449152 | Urban Health Care Group Pllc | Podiatrist | 23999 Northwestern Hwy, Ste 220, Southfield, MI 48075-2578 | 2015-10-09 |
| 1790161313 | Shazia Malik | Podiatrist | 23999 Northwestern Hwy, Suite 220, Southfield, MI 48075 | 2015-08-05 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on DR. SIMON J. 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.