Keith Mccoy (NPI# 1508809062, PAC ID# 2860458643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1508809062 |
PAC ID by PECOS | 2860458643 |
Professional Enrollment ID | I20120626000456 |
Full Name | Keith Mccoy |
Organization Legal Name | LAMAR MEDICAL CLINIC LLC |
Address |
44946 Hwy 17 Vernon AL 35592-5630 |
Phone Number | 2055571300 |
Gender | M |
Credential | MD |
Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
Graduation Year | 1990 |
Primary Specialty | EMERGENCY MEDICINE |
Secondary Specialties | FAMILY MEDICINE |
Group Practice PAC ID | 1254674492 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250100 | BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC |
010045 | FAYETTE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
44946 Hwy 17, Vernon, AL 35592-5630 | 2055571300 | LAMAR MEDICAL CLINIC LLC |
Organization Legal Name | LAMAR MEDICAL CLINIC LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Crystal A Mccoy | Nurse Practitioner | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
Street Address |
44946 HWY 17 |
City | VERNON |
State | AL |
Zip | 35592-5630 |
Name | Specialty | Organization | Address |
---|---|---|---|
Crystal A Mccoy | Nurse Practitioner | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Powell Berry | Chiropractic | 47776 Hwy 17, Vernon, AL 35592-4257 | |
Ashley Lauren Elizabeth Sudduth | Nurse Practitioner | 1050 Convalescent Rd, Vernon, AL 35592-4823 | |
Jennifer C Josey | Chiropractic | 178 1st Nest, Vernon, AL 35592-5430 | |
Amber Christine Hattaway | Nurse Practitioner | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
Robert W Davis | Family Medicine | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
James K Richardson | Physical Therapy | 314 Columbus Ave N W, Vernon, AL 35592-5703 | |
Angela L Carroll Brock | Nurse Practitioner | Northwest Alabama Mental Health Center | 141 2nd Ave Nw, Vernon, AL 35592-5765 |
City | VERNON |
Zip Code | 35592 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | VERNON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Keith Mccoy.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.