Individual provider Active NPI

Andrew Cook, DO

  • Emergency Medicine Physician
  • Bluefield, WV
National Provider Identifier
1174562409
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1943 Issued in WV
Practice address
500 Cherry St
Bluefield, WV 24701-3306
Phone
(304) 327-1100
NPI assigned
Jun 5, 2006
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 1943 WV Primary

Addresses

Primary practice location

500 Cherry St
Bluefield, WV 24701-3306

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 4

IdentifierTypeStateIssuer
010282942MedicaidVA
3810001687MedicaidWV
001744632OtherWVBLUE CROSS BLUE SHIELD
1066588OtherWVBRICKSTREET

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address acook145891@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address acook145891@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20050318000218 WV Practitioner - Emergency MedicinePractitioner - Family Practice 9436042280 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
West Virginia School of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Practice addresses (Care Compare)

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1943WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Aug 11, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Aug 11, 2023 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 10, 2023 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Nov 1, 2019 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Dec 16, 2004 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 10, 2023 Accepting new patients
Webster Memorial Hospital, Inc. Emergency Medicine CurrentSince Dec 14, 2022 Accepting new patients
Webster County Memorial Hospital CurrentSince Nov 2, 2020 Accepting new patients
Bluefield Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Bluefield Regional Medical Center Inc Past Accepting new patients
Bluefield Regional Medical Center Past Accepting new patients
West Virginia Em-I Medical Services Emergency Medicine Past Accepting new patients
Health Care Alliance, Inc. Emergency Medicine Past Accepting new patients
Montgomery General Hospital, Inc. Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: acook145891@direct.wvuhsdirect.com
  • Direct secure messaging: andrewc@wcmhwv.securechart.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1174562409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010282942",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001687",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001744632",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET",
            "identifier": "1066588",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acook145891@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acook145891@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.