MEDICARE: COYLE INTERNAL MEDICINE PLLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1578496071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COYLE INTERNAL MEDICINE PLLC

Provider Business Mailing Address
First Line	:	701 SHARON RD STE 3
Second Line	:
City	:	BEAVER
State	:	PA
Zip	:	15009-3147
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 SHARON RD STE 3
Second Line	:
City	:	BEAVER
State	:	PA
Zip	:	15009-3147
Country	:	US
Telephone Number	:	724-252-8372
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STACEY ALLEN COYLE
Credential	:	MSN, CRNP, FNP-C
Telephone Number	:	724-252-8372

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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