DR. ROBERT P MCCOY (NPI# 1124015193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124015193 |
| Entity Type | Individual |
| Full Name | DR. ROBERT P MCCOY |
| Credential | DO |
| Practice Address |
690 Barnes Blvd Joint Base Lewis Mcchord WA 98438-1303 |
| Mailing Address |
8 Willow View Dr Sw Granville OH 43023-9784 |
| Practice Telephone | 7404544394 |
| Practice Fax Number | 2539820158 |
| Mailing Telephone | 7407392301 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 02001572A | IN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 34-00-7195-M | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134594237 | Robert Jeffrey Mccoy | Dentist | 2359 E Thompson Blvd, Ventura, CA 93003-2701 | 2015-12-01 |
| 1881843340 | Robert G Mccoy Jr. | Hearing Instrument Specialist | 328 N Fayetteville St Ste B, Asheboro, NC 27203 | 2008-09-09 |
| 1871539015 | Robert Mccoy | Anesthesiology | 901 S 5th Ave, Madill, OK 73446-3640 | 2006-06-22 |
| 1518961911 | Robert Emmitt Mccoy | Surgery | 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835-3638 | 2005-06-13 |
| 1679108856 | Robert John Mccoy | Pharmacist | 18030 Fm 529 Rd, Cypress, TX 77433-1168 | 2020-03-08 |
| 1518434448 | Robert Todd Mccoy | Behavior Technician | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2018-10-29 |
| 1801204342 | Robert Mccoy | Registered Nurse | 405 County Highway 114, Saint Johnsville, NY 13452-2307 | 2014-07-29 |
| 1720278476 | Robert H Mccoy | Dentist | 871 Baltimore Pike, Suite 23, Glen Mills, PA 19342-1001 | 2007-07-30 |
| 1215060066 | Robert Matthew Mccoy | Pathology | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2007-03-13 |
| 1679621064 | Robert George Mccoy | Chiropractor | 5124 S Western Ave, Ste 1, Sioux Falls, SD 57108-5047 | 2007-01-08 |
| Street Address |
690 BARNES BLVD |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98438-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600068 | Kathleen Greenhalgh | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2005-09-23 |
| 1982175113 | Miguel Antonio Rodriguez Jr. | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2018-12-16 |
| 1184135428 | Eric Logan Dorner | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-13 |
| 1952812349 | Jodie Mitchell | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1093226458 | Jayce Moody | Dental Hygienist | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1861916801 | Christopher D Lucio Strayer | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-08-01 |
| 1154877645 | Chanel Pedersen | Licensed Practical Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-08-25 |
| 1063864809 | Tom Thomas | Registered Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-07-05 |
| 1407228737 | Jamye Patrice Gore | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2015-10-26 |
| 1922488360 | Alexander Dominic Jobrack | Preventive Medicine | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1336 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810483 | Roveds Kaarins | Nursing Care | Mcchord Air Force Base Clinic, 690 Barnes Blvd Jblm Lakewood Wa, Apo, AA 98438 | 2019-03-19 |
| 1326459843 | Dr Larsen Eye Care Inc | Optometrist | 504 A St Mcchord Main Exchange, Ft. Lewis Mcchord Afb, WA 98438 | 2014-05-19 |
| 1548580392 | Kevin Lok | Family Medicine | 600 Barnes Blvd., Mcchord Medical Clinic, Jblm, WA 98438 | 2010-06-03 |
| 1720205578 | Nathan Kane Fosmore | Registered Nurse | Us Dept of The Us Airforce, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2007-04-20 |
| 1225176951 | Ronald Richardson Morris | Family Medicine | 690 Barnes Road, Mcchord Medical Clinic Fam Med Clinic, Joint Base Lewis Mcchord, WA 98438 | 2007-02-02 |
| 1770527418 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | A Street Bldg 504, Mcchord Afb, WA 98438 | 2006-06-15 |
| 1982660692 | Shanti Jones | Registered Nurse | 62nd Med Group, 690 Barnes Ave, Mcchord Afb, WA 98438 | 2006-04-21 |
| 1578547436 | Cynthia Lee Fry-spray | Physician Assistant | 691 Barnes Blvd, Mcchord Afb, WA 98438 | 2005-12-05 |
| 1366432171 | Robert Dean Rock | Dentist | 527 Barnes Blvd, Mcchord Air Forse Base Dental Clinic, Mcchord, WA 98438 | 2005-10-24 |
| 1457344913 | Norman Harris | Dentist | 62mdos/sgod 690 Barnes Blvd., Mcchord Afb, WA 98438 | 2005-08-30 |
| Find all providers in zip 98438 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013377084 | Jacob Matthew Ernst | Emergency Medicine | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-03-03 |
| 1316304694 | Nicholas Derfler | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-01-18 |
| 1083008676 | Neal Aj Nettesheim | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-23 |
| 1821487455 | Travis Melton | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-01-20 |
| 1073939898 | Justine Stremick | Emergency Medicine | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1535 | 2014-03-17 |
| 1427474964 | Joshua Jacobson | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2014-03-07 |
| 1649695248 | Brandon Lee | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2014-02-19 |
| 1548605694 | Paul Freeman | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-05-02 |
| 1316280712 | Richard Murray Durbin | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-04-03 |
| 1154668770 | William Francis Dirkes | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-01-16 |
| Find all providers in JOINT BASE LEWIS MCCHORD | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98438 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.