Gage Blackstone McCoy

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

630 N Kelley Ave Apt 611
Oklahoma City, OK 73117-1479

Phone

(501) 580-2436

NPI assigned

Nov 11, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1912721648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N KELLEY AVE APT 611",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171479",
            "telephone_number": "501-580-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N KELLEY AVE APT 611",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171479",
            "telephone_number": "501-580-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "GAGE",
        "middle_name": "BLACKSTONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kyle McCoy
• Cynthia Tobar McCoy, LPC
• Edward McCoy
• Ella Kathleen McCoy, LCSW
• Erin McCoy, MD
• Gloria McCoy
• Julie O'Dom McCoy, O.D.
• Maura McCoy
• Michael D McCoy, ARNP
• Michael Nolan McCoy

• Student in an Organized Health Care Education/Training Program in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.