Active NPI
Patricia M Cook, MD
- Emergency Medicine Physician
- Apple Valley, MN
National Provider Identifier
1033184676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 27825
- Practice address
- 15290 Pennock LN
Apple Valley, MN 55124-7163 - Phone
- (952) 853-8800
- Fax
- (952) 431-6966
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 27825 | MN | Primary |
Addresses
Primary practice location
15290 Pennock LN
Apple Valley, MN 55124-7163
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711265300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27825 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regina Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1326066085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1033184676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15290 PENNOCK LN",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247163",
"telephone_number": "952-853-8800",
"fax_number": "952-431-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "PATRICIA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "27825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "711265300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, MN
- April Coming Hay, MD
- Community Healthcare Service
- Comprehensive Health & Wellness PC
- Meredith Connelly
- Conscious Healing Center
- Caitlin Mary Cooper, OTD, OTRL
- Core Medical Group P.a.
- Corner Medical LLC (Corner Home Medical)
- Cornerstone Health and Wellness Center PLLC
- Correa Chiropractic Sport and Injuty Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.