Active NPI
David Wellington Cook, MD
- Ophthalmology Physician
- Huntington, WV
National Provider Identifier
1164524500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13810
- Practice address
- 1340 Hal Greer Blvd
Attn: Tammie Silva
Huntington, WV 25701-3800 - Phone
- (304) 522-1802
- Fax
- (304) 529-6752
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 13810 | WV | Primary |
Addresses
Primary practice location
1340 Hal Greer Blvd
Attn: Tammie Silva
Huntington, WV 25701-3800
Mailing address
1300 3Rd Avenue
Huntington, WV 25701
Phone (304) 522-1802
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096943000 | Medicaid | WV | |
| 4319220 | Other | WV | AETNA |
| 001710114 | Other | WV | BC |
| 001720851 | Other | WV | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13810 | WV | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1164524500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 3RD AVENUE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-522-1802",
"fax_number": "304-529-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"address_2": "ATTN: TAMMIE SILVA",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013800",
"telephone_number": "304-522-1802",
"fax_number": "304-529-6752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "DAVID",
"middle_name": "WELLINGTON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WV",
"license": "13810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0096943000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4319220",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "001710114",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001720851",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.