NPIMap

Individual provider Active NPI

David McCoy, M.D.

  • Neurology Physician
  • Yukon, OK
National Provider Identifier
1477847416
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28604 Issued in OK
Practice address
1601 Health Center Pkwy Ste 600
Yukon, OK 73099
Phone
(405) 467-4809
Fax
(405) 467-4810
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 28604 OK Primary

Addresses

Primary practice location

1601 Health Center Pkwy Ste 600
Yukon, OK 73099

Mailing address

PO Box 851473
Yukon, OK 73085-1473
Phone (405) 467-4809

Other practice location 1

1201 S Adams St
Stillwater, OK 74074-5476
Phone (405) 533-2060

Other practice location 2

1703 Professional Cir Ste 201
Yukon, OK 73099-6498
Phone (405) 533-8922 ext. 40553

Other practice location 3

1201 S Adams St
Stillwater, OK 74074-5476
Phone (405) 533-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008003010 OK Practitioner - Neurology 0244546653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
St. Louis College of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 Health Ctr Pkwy
Suite 600
Yukon, OK 73099-7732
Phone (405) 467-4809

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323
  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Neurology, LLC Neurology CurrentSince Jul 15, 2015 Accepting new patients
David McCoy PLLC Neurology CurrentSince Feb 18, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

610 S Walnut St
Stillwater, OK 74074
Phone (405) 533-2060

1201 S Adams St
Stillwater, OK 74074
Phone (405) 533-2060

1601 Health Center Pkwy
Ste 600
Yukon, OK 73099
Phone (405) 295-5613

1703 Professional Cir
Ste 201
Yukon, OK 73099
Phone 4055338922 ext. 40553

Interoperability endpoints

  • Direct secure messaging: dmccoy192030@ahs.direct-ci.com

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.

Hospital & facility affiliations 11

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1477847416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851473",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730851473",
            "telephone_number": "405-467-4809",
            "fax_number": "405-467-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HEALTH CENTER PKWY STE 600",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-467-4809",
            "fax_number": "405-467-4810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740745476",
            "country_code": "US",
            "telephone_number": "405-533-2060",
            "fax_number": "405-533-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Professional Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996498",
            "country_code": "US",
            "telephone_number": "405-533-8922 x40553",
            "fax_number": "405-533-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740745476",
            "country_code": "US",
            "telephone_number": "405-533-2060",
            "fax_number": "405-533-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "28604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.