Individual provider Active NPI

Emily M. McCoy, PA-C

  • Physician Assistant
  • New Paris, PA
National Provider Identifier
1255092201
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063129 Issued in PA
Practice address
4186 Cortland Dr
New Paris, PA 15554-7706
Phone
(814) 839-4108
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063129 PA Primary

Addresses

Primary practice location

4186 Cortland Dr
New Paris, PA 15554-7706

Mailing address

4186 Cortland Dr
New Paris, PA 15554-7706
Phone (814) 839-4108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328000445 PA Practitioner - Physician Assistant 4981040987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard Valley Physician Services PLLCGroup PAC ID 4385028034, 9 clinicians
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, shared by 7 NPIs, 286 clinicians
Henry W Shoenthal MD IncGroup PAC ID 7810281946, 9 clinicians

Practice addresses (Care Compare)

4186 Cortland Dr
New Paris, PA 15554-7706
Phone (814) 839-4108

Hospital & facility affiliations

  • Conemaugh Nason Medical Center Hospital, Roaring Spring, PA, CCN 390062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1255092201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "EMILY",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paris, PA

Sources for this page

Verify at the official NPI Registry.