Individual provider Active NPI

Chris McCoy, D.O.

  • Internal Medicine Physician
  • Logan, WV
National Provider Identifier
1164675880
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2885 Issued in WV
Practice address
557 Main St
Logan, WV 25601-3809
Phone
(304) 896-5001
NPI assigned
Oct 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 03353 KY
Hospitalist Physician 208M00000X 2885 WV
Internal Medicine Physician 207R00000X 2885 WV Primary
Internal Medicine Physician 207R00000X 0116021030 VA

Addresses

Primary practice location

557 Main St
Logan, WV 25601-3809

Mailing address

PO Box 390
Huntington, WV 25708-0390
Phone (304) 429-1088

Other practice location 1

141 E 2nd Ave Ste 100
Williamson, WV 25661-3601
Phone (304) 443-0234

Other practice location 2

1520 Slate Creek Rd Ste 201
Grundy, VA 24614-6975
Phone (276) 242-2001

Other practice location 3

9613 Millard Hwy
Pikeville, KY 41501-8162
Phone (606) 552-0400

Other practice location 4

59 Thacker Rd
Pikeville, KY 41501-3021
Phone (606) 637-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110621000357 KY Practitioner - Internal Medicine 7719165877 Reassigns benefits to 1 organization
I20151209001635 WV Practitioner - Internal Medicine 7719165877 Reassigns benefits to 2 organizations
I20200813001275 VA Practitioner - HospitalistPractitioner - Internal Medicine 7719165877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

601 20TH St
Huntington, WV 25703-1512
Phone (304) 781-0076

9613 Millard Hwy
Pikeville, KY 41501-8162
Phone (606) 552-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116021030VAMDInternal Medicine Physician
2885WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC Internal Medicine CurrentSince Dec 14, 2019 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1164675880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "304-429-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 MAIN ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013809",
            "telephone_number": "304-896-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E 2nd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613601",
            "country_code": "US",
            "telephone_number": "304-443-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Slate Creek Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "246146975",
            "country_code": "US",
            "telephone_number": "276-242-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9613 Millard Hwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415018162",
            "country_code": "US",
            "telephone_number": "606-552-0400",
            "fax_number": "606-754-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Thacker Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013021",
            "country_code": "US",
            "telephone_number": "606-637-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-25",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "03353",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "2885",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2885",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116021030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.