Robert D Cook MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD07347 Issued in OR

Legal business name

ROBERT D COOK MD PC

Practice address

19875 SW 65TH Ave
Suite 201
Tualatin, OR 97062-8353

Phone

(503) 692-3250

Fax

(503) 691-2212

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Cook, MD

Title

Corporate President

Phone

(503) 692-3250

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James B Schader, MD

  • Specialist
  • Tualatin, OR
  • NPI 1740285170
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1215016399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 SW 65TH AVE",
            "address_2": "SUITE 201",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628353",
            "telephone_number": "503-692-3250",
            "fax_number": "503-691-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 SW 65TH AVE",
            "address_2": "SUITE 201",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628353",
            "telephone_number": "503-692-3250",
            "fax_number": "503-691-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D COOK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "503-692-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD07347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232652",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatriz Tafolla Ridgley, QMHP
• Patricia L Ridgley, D.M.D
• Sarah Rim, PA-C
• Risen Medical, LLC
• Joshua Rivkin
• Robert L Tatsumi MD PC
• Nicole Roberts, PHARMD
• Warren G Roberts, M.D.
• Jason Wing Robison, PHARMD
• Breeana K Roche, PA

• Specialist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.