Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cameron Joseph McCoy

Individual provider Certified Registered Nurse Anesthetist · NPI 1639915762

Cameron Joseph McCoy is a Certified Registered Nurse Anesthetist (CRNA) in Broken Arrow, Oklahoma. Qualified in 2025, 1 year ago. Practices with Anesthesia Medical Group, PC, a 436-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2024
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Practice location Address checks out

1000 W Boise Cir
Broken Arrow, OK 74012-4900
Phone: (918) 994-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 38974 (TN)

Record details

NPI number1639915762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address641 W Farm Road 182 Apt B304, Springfield, MO 65810-2791

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Anesthesia Medical Group, P.C. — 436 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Broken Arrow