Organization Active NPI

Thomas F. Cook MD., Inc

  • MOHS-Micrographic Surgery Physician
  • Visalia, CA
National Provider Identifier
1033250063
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A68280 Issued in CA
Legal business name
THOMAS F. COOK MD., INC
Practice address
805 W Acequia Ave
Suite 1B
Visalia, CA 93291-6162
Phone
(559) 713-0117
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Sandra Cook, PAC
Title
Manager
Phone
(559) 713-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X A68280 CA Primary

Addresses

Primary practice location

805 W Acequia Ave
Suite 1B
Visalia, CA 93291-6162

Mailing address

PO Box 7420
Visalia, CA 93290-7420
Phone (559) 713-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070515000685 CA Part B Supplier - Clinic/Group Practice 1355448945 Receives reassigned benefits from 1 practitioner
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720

5435 W Hillsdale Ave
Visalia, CA 93291
Phone (559) 713-0117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEJFBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1033250063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7420",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907420",
            "telephone_number": "559-713-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE",
            "address_2": "SUITE 1B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916162",
            "telephone_number": "559-713-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS F. COOK MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-713-0117",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A68280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.