Individual provider Active NPI

Thomas J Cook, M.D.

  • Family Medicine Physician
  • Alpena, MI
National Provider Identifier
1073507158
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TC025978 Issued in MI
Practice address
346 Long Rapids PLZ
Alpena, MI 49707-1374
Phone
(989) 358-3500
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TC025978 MI Primary

Addresses

Primary practice location

346 Long Rapids PLZ
Alpena, MI 49707-1374

Mailing address

346 Long Rapids PLZ
Alpena, MI 49707-1374
Phone (989) 358-3500

Other practice location 1

211 Long Rapids Rd
Alpena, MI 49707-1315
Phone (989) 354-2142

Other practice location 2

211 Long Rapids Rd
Alpena, MI 49707-1315
Phone (989) 354-2142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100107000249 MI Practitioner - Family Practice 7012977200 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC025978MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Oct 20, 2009 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Oct 20, 2009 Accepting new patients

Locations

346 Long Rapids Plz
Alpena, MI 49707
Phone (989) 354-7775

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

211 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-2142

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Organizations & group practices 2

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073507158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-358-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-358-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Long Rapids Rd",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071315",
            "country_code": "US",
            "telephone_number": "989-354-2142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Long Rapids Rd",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071315",
            "country_code": "US",
            "telephone_number": "989-354-2142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TC025978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.