Active NPI
Michael D McCoy, ARNP
- Neonatal Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1013094697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- ROO0033670
- Practice address
- 1200 Everett Dr
7TH Floor NP, Neonatal Section, Dept of Pediatrics
Oklahoma City, OK 73104-5047 - Phone
- (405) 271-5215
- Fax
- (405) 271-1236
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | ROO0033670 | OK | Primary |
Addresses
Primary practice location
1200 Everett Dr
7TH Floor NP, Neonatal Section, Dept of Pediatrics
Oklahoma City, OK 73104-5047
Mailing address
13708 Calistoga Dr
Oklahoma City, OK 73170-5113
Phone (405) 691-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ROO0033670 | OK | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013094697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13708 CALISTOGA DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705113",
"telephone_number": "405-691-3797",
"fax_number": "405-271-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"address_2": "7TH FLOOR NP, NEONATAL SECTION, DEPT OF PEDIATRICS",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "405-271-5215",
"fax_number": "405-271-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OK",
"license": "ROO0033670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.