Craig William McCoy, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4251 Issued in MT

Practice address

2825 Fort Missoula Road
Suite 217
Missoula, MT 59804-7403

Phone

(406) 728-8170

Fax

(406) 728-9409

NPI assigned

Mar 30, 2006

Last updated

Jul 24, 2009By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1932160900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA ROAD",
            "address_2": "SUITE 217",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-728-8170",
            "fax_number": "406-728-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA ROAD",
            "address_2": "SUITE 217",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-728-8170",
            "fax_number": "406-728-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000011920",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042965",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "81086208059804A003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Risha R. McCormack, MSW, LAC
• Gabriel I McCormick, DMD
• Heidi McCormick, LCPC
• Janel D McCormick, PA-C
• Nancy Lorraine McCourt, MSW
• Emily Anne McCrea Ployhar, MA, LCPC
• Dennis Lynn McCrea, PT
• Lauren McCrillis, PCLC
• Timothy J McCue, M.D.
• Robert C McDevitt, MD

• Obstetrics & Gynecology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.