Individual provider Active NPI

Eric James Crook, P.A.

  • Physician Assistant
  • Richland, WA
National Provider Identifier
1225341472
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60253264 Issued in WA
Practice address
2564 Queensgate Dr Ste 2580
Richland, WA 99352-9109
Phone
(888) 227-3312
NPI assigned
Jul 16, 2010
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60253264 WA Primary
Medical Physician Assistant 363AM0700X 00000 CA

Addresses

Primary practice location

2564 Queensgate Dr Ste 2580
Richland, WA 99352-9109

Mailing address

2564 Queensgate Dr
Richland, WA 99352-9109
Phone (509) 942-2355

Other practice location 1

2564 Queensgate Dr Ste 2580
Richland, WA 99352-9109
Phone (509) 942-2355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MO2 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

Enrollment IDStateProvider typePAC IDDetails
I20141230002464 WA Practitioner - Physician Assistant 9830334390 Reassigns benefits to 2 organizations
I20231017002916 MO Practitioner - Physician Assistant 9830334390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Practice addresses (Care Compare)

105 E Mission Ave
Suite D
Spokane, WA 99202-6002
Phone (888) 227-3312

1601 George Washington Way
Richland, WA 99354-2626
Phone (888) 227-3312

2564 Queensgate Dr
Suite 2580
Richland, WA 99352-9109
Phone (888) 227-3312

4008 W 27TH Ave
Suite 103
Kennewick, WA 99337-2484
Phone (888) 227-3312

5506 Rd
Suite 68
Pasco, WA 99301-9627
Phone (888) 227-3312

718 91St Ave NE
Lake Stevens, WA 98258-2420
Phone (888) 227-3312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00000CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jan 1, 2015 Accepting new patients
Peacehealth CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

2950 Squalicum Pkwy
Ste B
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: ecrook1139958@wm.providencedirect.org

Organizations & group practices 6

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 1

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1225341472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 QUEENSGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529109",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 QUEENSGATE DR STE 2580",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529109",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 Queensgate Dr Ste 2580",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993529109",
            "country_code": "US",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOK",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60253264",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "00000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.