Active NPI
John D. Cook, DO
- Family Medicine Physician
- Madison, WV
National Provider Identifier
1235231192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1570
- Practice address
- 701 Madison Ave
Madison, WV 25130-1669 - Phone
- (304) 369-1230
- Fax
- (304) 369-1255
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1570 | WV | Primary |
| Emergency Medicine Physician | 207P00000X | 1570 | WV |
Addresses
Primary practice location
701 Madison Ave
Madison, WV 25130-1669
Mailing address
701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801150000 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116000571 | WV | Practitioner - Family Practice | 8426077769 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan General Hospital LLC | Family Medicine | Past | Accepting new patients |
| Medexpress Urgent Care PLLC-Morgantown | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1235138280
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1235231192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MADISON AVE",
"city": "MADISON",
"state": "WV",
"postal_code": "251301669",
"telephone_number": "304-369-1230",
"fax_number": "304-369-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MADISON AVE",
"city": "MADISON",
"state": "WV",
"postal_code": "251301669",
"telephone_number": "304-369-1230",
"fax_number": "304-369-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JOHN",
"middle_name": "D.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1570",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "1570",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801150000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.