Dr. James Joseph Mccoy
Family Doctor Family Doctor - Geriatric Medicine
N2950 State Road 67
Lake Geneva
, Wisconsin 53147-2655
Dr. James Joseph Mccoy
Family Doctor Family Doctor - Geriatric Medicine
N2950 State Road 67
Lake Geneva
, Wisconsin 53147-2655
(262) 245-0535
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. James Joseph Mccoy
- N2950 State Road 67
- Lake Geneva, WI
- Zip : 53147-2655
- Phone : (262) 245-0535
Second Address
- Dr. James Joseph Mccoy
- N2950 State Road 67
- Lake Geneva, WI
- Zip : 53147-2655
- Phone : (262) 245-0535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036-047496 | IL |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 49237 | WI |
National Provider Identifier
| NPI | 1255519880 |
|---|---|
| Provider Name | Dr. James Joseph Mccoy |
| First Address | Lake Geneva, WI 53147-2655 |
| Second Address | Lake Geneva, WI 53147-2655 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2008 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MCCOYJAM | MERCYCARE INSURANCE (01) | WI |
| P00809989CD3624 | RR MEDICARE (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.