Organization Active NPI

Barbara J. Cook, M.D., LLC

  • Nuclear Medicine Physician
  • Wichita, KS
National Provider Identifier
1023565124
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
04-38755 Issued in KS
Legal business name
BARBARA J. COOK, M.D., LLC
Practice address
104 N Kennedy St
Wichita, KS 67235-7701
Phone
(402) 314-8328
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara June Cook, M.D.
Title
Manager
Phone
(402) 314-8328

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207U00000X 04-38755 KS Primary
Nuclear Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207U00000X 20860 NE

Addresses

Primary practice location

104 N Kennedy St
Wichita, KS 67235-7701

Mailing address

104 N Kennedy St
Wichita, KS 67235-7701
Phone (402) 314-8328

Other identifiers 2

IdentifierTypeStateIssuer
20860OtherNENEBRASKA MEDICAL LICENSE
04-38755OtherKSKANSAS MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023565124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N KENNEDY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672357701",
            "telephone_number": "402-314-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N KENNEDY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672357701",
            "telephone_number": "402-314-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA J. COOK, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-314-8328",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "KS",
            "license": "04-38755",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "NE",
            "license": "20860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA MEDICAL LICENSE",
            "identifier": "20860",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAL LICENSE",
            "identifier": "04-38755",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.