Sherron Sue Cook, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4369 Issued in AZ

Practice address

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256

Phone

(520) 838-3540

Fax

(520) 325-3526

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20248/brand/1/csg/1/fhir/r4
• Direct secure messaging: sherron.cook@ushv.eclinicaldirectplus.com

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.

• Pima Heart Physicians, PC

  • Cardiac Rehabilitation Registered Nurse
  • Sahuarita, AZ
  • NPI 1962259812

  AZ

  Medicare reassignment NPD
• Pima Heart Physicians, PC

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1730137480

  AZ

  Medicare reassignment
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622

  AZ

  Medicare reassignment
• United Community Health Center - Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1093766867

  AZ

  Medicare reassignment
• Onepeak Southern Oregon PC

  • Family Medicine Physician
  • Medford, OR
  • NPI 1740917558

  OR

  Medicare reassignment
• Pima Heart Physicians, PC

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1003081803
  NPD
• United Community Health Center-Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1811465966
  NPD
• United Community Health Center-Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1972968360
  NPD
• Nisha Jackson PC

  • Nurse Practitioner
  • Medford, OR
  • NPI 1124499124
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1184871014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E RIVER RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045843",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 N CENTRAL AVE",
            "address_2": "BLDG C",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "country_code": "US",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2423 W Dunlap Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850215818",
            "country_code": "US",
            "telephone_number": "602-279-5351",
            "fax_number": "602-279-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHERRON",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401088",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorna Cook, APN
• Michael Allen Cook, LAC-23402
• Phillip Jeffery Cook, NP
• Ronnie Lynn Cook, D.D.S., M.S.D.
• Samuel George Cook, DO
• Skylar Cook, LPC
• Timothy A Cook, PT
• Wesley Cook, MD
• William Cook, LMT
• Lucille Helen Cooke, RD

• All providers in Tucson, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.