Active NPI
Jose L Oyco, M.D.
- Emergency Medicine Physician
- Bluefield, WV
National Provider Identifier
1124075742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 09397
- Practice address
- 1333 Southview Dr
Bluefield, WV 24701-4317 - Phone
- (304) 327-2900
- NPI assigned
- May 28, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 09397 | WV | Primary |
Addresses
Primary practice location
1333 Southview Dr
Bluefield, WV 24701-4317
Mailing address
PO Box 634715
Cincinnati, OH 45263-0001
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079420000 | Medicaid | WV | |
| 1124075742 | Medicaid | VA | |
| P00233407 | Other | WV | RAILROAD MEDICARE |
| P00358952 | Other | WV | RAILROAD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09397 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Epmg of Virginia P C | Past | Accepting new patients | |
| St. Luke'S Princeton LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Hinton, WV
- NPI 1730196049
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- General Acute Care Hospital
- Bluefield, WV
- NPI 1265486583
-
- Emergency Medical Services (Emergency Medicine) Physician
- Blacksburg, VA
- NPI 1972545531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1124075742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634715",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 SOUTHVIEW DR",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014317",
"telephone_number": "304-327-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYCO",
"first_name": "JOSE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "09397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079420000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124075742",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00233407",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00358952",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.