NPIMap

Individual provider Active NPI

Richard Cook, M.D.

  • Family Medicine Physician
  • Uniontown, PA
National Provider Identifier
1104899970
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD027626E Issued in PA
Practice address
80 Matthew Dr Ste 2001
Uniontown, PA 15401-8927
Phone
(724) 438-1808
Fax
(724) 438-8799
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 MD027626E PA Primary

Addresses

Primary practice location

80 Matthew Dr Ste 2001
Uniontown, PA 15401-8927

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other practice location 1

104 McClellandtown Rd
Uniontown, PA 15401-5520
Phone (724) 438-1808

Other identifiers 2

IdentifierTypeStateIssuer
080120670OtherRAILROAD MEDICARE PTAN
0009431500002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000222 PA Practitioner - Family Practice 1355400391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

80 Matthew Dr
Suite 2001
Uniontown, PA 15401-8927
Phone (724) 438-1808

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 24, 1984 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 24, 1984 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1910 Cochran Rd
Ste 490
Pittsburgh, PA 15220

104 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 430-9710

80 Matthew Dr
Ste 2001
Uniontown, PA 15401
Phone (724) 438-1808

Interoperability endpoints

  • Direct secure messaging: richardcookmd@preferred.medentdirect.com

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1104899970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MATTHEW DR STE 2001",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018927",
            "telephone_number": "724-438-1808",
            "fax_number": "724-438-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 McClellandtown Rd",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154015520",
            "country_code": "US",
            "telephone_number": "724-438-1808",
            "fax_number": "724-438-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027626E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "080120670",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009431500002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.