Robert M. McCoy, MD, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ROBERT M. MCCOY, MD, INC

Practice address

1325 Locust Ave
Fairmont, WV 26554-1435

Phone

(304) 367-7384

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Mathew McCoy, M.D.

Title

Owner

Phone

(304) 367-7384

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Henry Horner, MD

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1760481931
  NPD
• Tyler J. Prouty, M.D.

  • Obstetrics & Gynecology Physician
  • Bridgeport, WV
  • NPI 1225247877
  NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1124242771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIARWOOD TER",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541208",
            "telephone_number": "304-367-7384",
            "fax_number": "304-367-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541435",
            "telephone_number": "304-367-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. MCCOY, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-367-7384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG4811",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011063",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001707115",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Alan Riley
• Thomas William Riley
• Hannah Marie Rinker
• Angel Marie Ritchie
• Lisa Robbins, RN
• Angelica Roberts
• Maggie J Roberts
• Melinda Kay Roberts
• Beverly J Robey
• Falletta Elizabeth Maria Mae Robinson

• Clinical Medical Laboratory in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.