Active NPI
Cynthia Joan McCoy, M.D.
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1831180322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18972
- Practice address
- 1615 S 69TH East Ave
Tulsa, OK 74112-7438 - Phone
- (918) 836-2962
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18972 | OK | Primary |
Addresses
Primary practice location
1615 S 69TH East Ave
Tulsa, OK 74112-7438
Mailing address
1615 S 69TH East Ave
Tulsa, OK 74112-7438
Phone (918) 836-2962
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18972 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Medical Center of Tulsa, LLC | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Family Medicine | Past | Accepting new patients |
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.
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- Internal Medicine Physician
- Tulsa, OK
- NPI 1316094063
-
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
Family Medicine
-
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338681600000",
"number": "1831180322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 S 69TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741127438",
"telephone_number": "918-836-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 S 69TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741127438",
"telephone_number": "918-836-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "CYNTHIA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2012-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "18972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.