Individual provider Active NPI

Robert H McCoy, M.D.

  • Specialist
  • Edmonds, WA
National Provider Identifier
1326034042
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00024570 Issued in WA
Practice address
7315 212TH St SW
Suite 208
Edmonds, WA 98026-7610
Phone
(425) 791-3084
Fax
(425) 791-3086
NPI assigned
Sep 27, 2005
Reactivated
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00024570 WA Primary

Addresses

Primary practice location

7315 212TH St SW
Suite 208
Edmonds, WA 98026-7610

Mailing address

7315 212TH St SW
Suite 208
Edmonds, WA 98026-7610
Phone (425) 791-3084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100303000154 WA Practitioner - Pulmonary Disease 4688719545 Reassigns benefits to 1 organization
Practice locations: Edmonds, WA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Oregon Health Sciences University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (425) 263-8980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00024570WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Oct 1, 2012 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Oct 1, 2012 Accepting new patients
Spartan Sleep Services, PLLC Specialist PastSince Oct 4, 2011 Accepting new patients
Western Washington Medical Group, Inc PS Past Accepting new patients

Locations

7315 212th St SW
Ste 208
Edmonds, WA 98026
Phone (425) 791-3084

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

3822 Colby Ave
#100
Everett, WA 98201
Phone (425) 259-4041

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

Interoperability endpoints

  • Direct secure messaging: rmccoy727161@direct.multicare.org

Organizations & group practices 5

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 4

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1326034042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 208",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-791-3084",
            "fax_number": "425-791-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 208",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-791-3084",
            "fax_number": "425-791-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-02-12",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00024570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.