Robert McCoy, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

R0025463 Issued in OK

Practice address

901 S 5TH Ave
Madill, OK 73446-3640

Phone

(580) 795-3384

Fax

(580) 795-0185

NPI assigned

Jun 22, 2006

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marshall County Hma LLC

  dba INTEGRIS Kingston Medical Clinic

  • Family Medicine Physician
  • Kingston, OK
  • NPI 1659372712
  NPD (past)
• Southern Oklahoma Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Ardmore, OK
  • NPI 1699767210
  NPD (past)
• William Lytkowski,D.O., P.C.

  • Anesthesiology Physician
  • Ardmore, OK
  • NPI 1285963405
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1871539015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463640",
            "telephone_number": "580-795-3384",
            "fax_number": "580-795-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463640",
            "telephone_number": "580-795-3384",
            "fax_number": "580-795-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "R0025463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100788730AS",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danah Renae Martin, PSRS
• Guy Massey, DOCTOR OF PHARMACY
• Madison R Mathews, OTR
• Randall E McAdoo, D.PH.
• Patrick McCain
• Mental Health Services of Southern Oklahoma
• Mercy Hospital Ardmore
• Vicki S Mitchell
• Angie L Munholland, LPC
• Judy Gayle Nabors, M.ED. LPC

• Anesthesiology Physician in Madill, OK
• Providers in Madill, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.