Individual provider Active NPI

Joe T McCook, MD

  • Family Medicine Physician
  • La Pine, OR
National Provider Identifier
1154344869
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD26830 Issued in OR
Practice address
51600 Huntington Rd
La Pine, OR 97739
Phone
(541) 536-3435
NPI assigned
Jul 25, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 MD26830 OR Primary

Addresses

Primary practice location

51600 Huntington Rd
La Pine, OR 97739

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435

Other practice location 1

61250 SE Coombs Pl
Bend, OR 97702-3704
Phone (541) 706-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20070227000330 OR Practitioner - Family PracticePractitioner - Emergency Medicine 3072518422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Eastern Virginia Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians
La Pine Community Health CenterGroup PAC ID 8224187018, 13 clinicians

Practice addresses (Care Compare)

211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164

51600 Huntington Rd
La Pine, OR 97739-9626

51600 S Huntington Dr
Lapine, OR 97739-9626
Phone (541) 536-3435

51781 Huntington Rd
La Pine, OR 97739-1118
Phone (541) 666-7920

61250 SE Coombs PL
Family Care Clin
Bend, OR 97702-3704
Phone (541) 706-5935

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26830ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. Family Medicine CurrentSince Dec 1, 2010 Accepting new patients
La Pine Community Health Center CurrentSince Aug 15, 2023 Accepting new patients
St. Charles Health System, Inc. CurrentSince Dec 1, 2010 Accepting new patients
La Pine Community Health Center Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

51600 Huntington Rd
Ste 101
La Pine, OR 97739
Phone (541) 536-3435

51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435

470 NE A St
Madras, OR 97741
Phone (541) 475-3882

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

Interoperability endpoints

  • FHIR API: https://webprd.ochin.org/prd-fhir/mychartlpchc/api/FHIR/R4
  • Direct secure messaging: jmccook17708@secure.stcharleshealthcare.org
  • Direct secure messaging: jmccook655244@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1154344869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61250 SE Coombs Pl",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023704",
            "country_code": "US",
            "telephone_number": "541-706-5930",
            "fax_number": "541-706-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOK",
        "first_name": "JOE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

Verify at the official NPI Registry.