Individual provider Active NPI

Robert Marc Wycoff, MD

  • Emergency Medicine Physician
  • Allen, TX
National Provider Identifier
1215965579
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P6556 Issued in TX
Practice address
1310 W. Exchange Pkwy
Emergency Department
Allen, TX 75013
Phone
(972) 678-4545
NPI assigned
Jun 28, 2006
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34123 KY
Emergency Medicine Physician 207P00000X P6556 TX Primary

Addresses

Primary practice location

1310 W. Exchange Pkwy
Emergency Department
Allen, TX 75013

Mailing address

2130 Arches Park Dr
Allen, TX 75013-5642
Phone (859) 948-8229

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130729000839 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9133118060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Feb 22, 2021 Accepting new patients
Frisco Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 10, 2025 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Legacy Urgent Care, PA CurrentSince Jun 29, 2022 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince Sep 15, 2016 Accepting new patients
Bluegrass Internal Medicine and Nephrology Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1310 W Exchange Pkwy
Allen, TX 75013
Phone (972) 678-4545

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1215965579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ARCHES PARK DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135642",
            "telephone_number": "859-948-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W. EXCHANGE PKWY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-678-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCOFF",
        "first_name": "ROBERT",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "34123",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P6556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.