Individual provider Active NPI

Stacie L Cook, M.D.

  • Emergency Medicine Physician
  • Richmond, VA
National Provider Identifier
1053672584
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101256235 Issued in VA
Practice address
1602 Skipwith Rd
Department of Emergency Medicine
Richmond, VA 23229-5205
Phone
(804) 229-6326
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101256235 VA Primary

Addresses

Primary practice location

1602 Skipwith Rd
Department of Emergency Medicine
Richmond, VA 23229-5205

Mailing address

1602 Skipwith Rd
Department of Emergency Medicine
Richmond, VA 23229-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021001453 VA Practitioner - Emergency Medicine 7012158470 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 15, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jun 15, 2019 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

9275 Chamberlayne Rd
Mechanicsvlle, VA 23116
Phone (800) 417-0300

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

12720 Tuckahoe Creek Pkwy
Richmond, VA 23238
Phone (804) 217-9091

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1053672584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295205",
            "telephone_number": "804-229-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "STACIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101256235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.