Active NPI
Robert Marc Wycoff, MD
- Emergency Medicine Physician
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- P6556
- Practice address
- 1310 W. Exchange Pkwy
Emergency Department
Allen, TX 75013 - Phone
- (972) 678-4545
- NPI assigned
- Jun 28, 2006
- Last updated
- Aug 14, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | KY |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Frisco Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Legacy Urgent Care, PA | Current | Accepting new patients | |
| Baptist Medcare, Inc | Emergency Medicine | Current | 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.
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1568622272
-
- Emergency Care Clinic/Center
- Frisco, TX
- NPI 1467612176
Emergency Medicine
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Nephrology Physician
- Lexington, KY
- NPI 1609361724
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.