Active NPI
Wayman Cornelius McCoy, MD
- Pediatrics Physician
- Buffalo, NY
National Provider Identifier
1982662565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 084827
- Practice address
- 899 Main St
Buffalo, NY 14203 - Phone
- (716) 878-2700
- Fax
- (716) 504-5544
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 084827 | NY | Primary |
Addresses
Primary practice location
899 Main St
Buffalo, NY 14203
Mailing address
120 Gardenville Pkwy W
Attn: Credentialing
West Seneca, NY 14224-1324
Phone (716) 857-6150
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010113803 | Other | NY | UNIVERA # |
| 000503171006 | Other | NY | HEALTH NOW BCBS # |
| 159894DL | Other | NY | PREFERRED CARE # |
| 040426000155 | Other | NY | FIDELIS CARE # |
| 1200515 | Other | NY | IHA # |
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 |
|---|---|---|---|
| 084827 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Group Health Association | 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.
-
- Clinic/Center
- Amherst, NY
- NPI 1295751261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1982662565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 GARDENVILLE PKWY W",
"address_2": "ATTN: CREDENTIALING",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241324",
"telephone_number": "716-857-6150",
"fax_number": "716-656-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-878-2700",
"fax_number": "716-504-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "WAYMAN",
"middle_name": "CORNELIUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "084827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00010113803",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW BCBS #",
"identifier": "000503171006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "159894DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE #",
"identifier": "040426000155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "1200515",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.