Organization Active NPI

Robert E McCoy, MD, Inc.

  • Surgery Physician
  • Fullerton, CA
National Provider Identifier
1053451757
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A43126 Issued in CA
Legal business name
ROBERT E MCCOY, MD, INC.
Practice address
1440 N Harbor Blvd
Ste 100
Fullerton, CA 92835-4127
Phone
(714) 447-3144
Fax
(714) 447-1944
NPI assigned
Feb 8, 2007
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Emmitt McCoy, MD
Title
President
Phone
(714) 447-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A43126 CA Primary

Addresses

Primary practice location

1440 N Harbor Blvd
Ste 100
Fullerton, CA 92835-4127

Mailing address

1440 N Harbor Blvd
Ste 100
Fullerton, CA 92835-4127
Phone (714) 447-3144

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1053451757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD",
            "address_2": "STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-447-3144",
            "fax_number": "714-447-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD",
            "address_2": "STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-447-3144",
            "fax_number": "714-447-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E MCCOY, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EMMITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-447-3144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A43126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.