Individual
DR. ROBERT MATTHEW MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5550
(304) 388-4352
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5550
(304) 388-4352
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19312
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707115
BCBS
WV
05
—
0020009000
—
WV
01
—
220033058
RR MEDICARE
—
01
—
226371
CARELINK HEALTH PLAN
WV
01
—
311440702
UPMC HEALTH PLAN
WV
01
—
608911600
DEPT OF LABOR
—
01
—
7949384
AETNA
—
01
—
N1100G
HEALTHNET
WV
01
—
WV19312
THE HEALTH PLAN
WV
Enumeration date
03/13/2007
Last updated
05/10/2019
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