Active NPI
Barbara J. Cook, M.D., LLC
- Nuclear Medicine Physician
- Wichita, KS
National Provider Identifier
1023565124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 04-38755
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 04-38755 | KS | Primary |
| Nuclear Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20860 | Other | NE | NEBRASKA MEDICAL LICENSE |
| 04-38755 | Other | KS | KANSAS MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.