MEDICARE: SUZANNE MCCOY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1063171643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE MCCOY

Provider Business Mailing Address
First Line	:	7240 N 9TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 E INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1839
Country	:	US
Telephone Number	:	602-277-5551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	03/02/2026

Similar Medicare Providers

1215883012 — WYATT DORAN PRICE CTRS
Practice Location Address:

650 E INDIAN SCHOOL RD
PHOENIX, AZ
85012-1839

Practice Phone: 480-599-9695
Practice Fax:

1679579213 — DR. CARLOS J CARRERA M.D.
Practice Location Address:

650 E INDIAN SCHOOL RD
PHOENIX, AZ
85012-1839

Practice Phone: 602-277-5551
Practice Fax: 602-200-6026

1114928314 — MR. DANIEL PATRICK BOYLE R.PH.
Practice Location Address:

650 E INDIAN SCHOOL RD DEPT OF
PHOENIX, AZ
85012-1839

Practice Phone: 602-277-5551
Practice Fax:

1740278092 — MR. FRANCISCO F BALTODANO OTRL
Practice Location Address:

650 E INDIAN SCHOOL RD
PHOENIX, AZ
85012-1839

Practice Phone: 602-277-5551
Practice Fax:

1841272812 — MS. ANGELA M HEJNA PA
Practice Location Address:

650 E INDIAN SCHOOL RD , ATTENTION: ORTHOPEDIC SURGERY DEPARTMENT
PHOENIX, AZ
85012-1839

Practice Phone: 602-277-5551
Practice Fax:

1720060288 — DR. GARY MITCHELL WEINER M.D.
Practice Location Address:

650 E INDIAN SCHOOL RD
PHOENIX, AZ
85012-1839

Practice Phone: 602-277-5551
Practice Fax:

Directions to “ SUZANNE MCCOY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.