CLARK STEVEN MCCOY MD NPI 1871517912

NPI Information

NPI: 1871517912
Provider Name: CLARK STEVEN MCCOY, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1120 E ELIZABETH ST STE 2
FORT COLLINS, CO
ZIP 80524
Phone: (970) 493-9193
Get Directions

Clark Steven Mccoy, MD is an addiction medicine family medicine in Fort Collins, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Clark Steven Mccoy, MD NPI is 1871517912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1120 E ELIZABETH ST STE 2
FORT COLLINS, CO
ZIP 80524-044
Phone: (970) 493-9193

The NPI 1871517912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		CDRH.0054001	COLORADO	No
2	207Q00000X	Family Medicine		MD2019-0018	NEW MEXICO	No
3	207QA0401X	Family Medicine	Addiction Medicine	MD2019-0018	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	258651	OTHER		AVMED
2	31540	OTHER		BCBS
3	250902400	MEDICAID	FLORIDA
4	19505523	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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