Jonathan Coy, DO
Internal Medicine, Hematology & Oncology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1487220596
StatusActive
Last updated in NPPESApr 1, 2024
Details
- NPI
- 1487220596
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Coy
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2021
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 13891561-1204 | UT | Yes |
Practice location
2000 Circle Of Hope Dr Rm Ll376Salt Lake City, UT 84112-5550
Phone 801-581-2121
Mailing address
2000 Circle Of Hope Dr Rm Ll376Salt Lake City, UT 84112-5550
Phone 801-581-2121
Other practice locations
1 University Of New Mexico
Albuquerque, NM 87131-2719
Albuquerque, NM 87131-2719
Phone 505-272-4661
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