Active NPI
Lance Morgan McCoy, M.D.
- Geriatric Psychiatry Physician
- Parkersburg, WV
National Provider Identifier
1679578736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 19159
- Practice address
- 2801 Dudley Ave
Suite B
Parkersburg, WV 26101-2105 - Phone
- (304) 428-1114
- Fax
- (304) 428-1135
- NPI assigned
- Jun 16, 2005
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 19159 | WV | Primary |
| Psychiatry Physician | 2084P0800X | 19159 | WV |
Addresses
Primary practice location
2801 Dudley Ave
Suite B
Parkersburg, WV 26101-2105
Mailing address
2801 Dudley Ave
Suite B
Parkersburg, WV 26101-2105
Phone (304) 428-1114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031447 | Medicaid | OH | |
| 0116263002 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worthington Center Management Co, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Belpre, OH
- NPI 1962459305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1679578736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 DUDLEY AVE",
"address_2": "SUITE B",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261012105",
"telephone_number": "304-428-1114",
"fax_number": "304-428-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 DUDLEY AVE",
"address_2": "SUITE B",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261012105",
"telephone_number": "304-428-1114",
"fax_number": "304-428-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "LANCE",
"middle_name": "MORGAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "WV",
"license": "19159",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "19159",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2031447",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116263002",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.