Active NPI
Hendrik S Kok, PA C
- Physician Assistant
- Bellingham, WA
National Provider Identifier
1235321183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10005230
- Practice address
- 710 Birchwood Ave
#101
Bellingham, WA 98225-1720 - Phone
- (360) 676-0922
- Fax
- (360) 671-4726
- NPI assigned
- Aug 14, 2007
- Last updated
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10005230 | WA | Primary |
| Medical Physician Assistant | 363AM0700X | PA10005230 | WA |
Addresses
Primary practice location
710 Birchwood Ave
#101
Bellingham, WA 98225-1720
Mailing address
710 Birchwood Ave
#101
Bellingham, WA 98225-1720
Phone (360) 676-0922
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901KO | Other | WA | BSWA |
| 0225246 | Other | WA | LIWA |
| 6059600 02 | Other | WA | USDLAB |
| 8494338 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Birchwood Ave
Suite 101
Bellingham, WA 98225-1720
Phone (360) 676-0922
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fourth Corner Neurosurgical Associates Inc PS | Current | Accepting new patients |
Locations
710 Birchwood Ave
Ste 101
Bellingham, WA 98225
Phone (360) 626-0922
Interoperability endpoints
- hkok@fcnsa.direct.emds.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cascade Outpatient Spine Center
- Neurological Surgery Physician
- Bellingham, WA
- NPI 1699846386
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1235321183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BIRCHWOOD AVE",
"address_2": "#101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251720",
"telephone_number": "360-676-0922",
"fax_number": "360-671-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 BIRCHWOOD AVE",
"address_2": "#101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251720",
"telephone_number": "360-676-0922",
"fax_number": "360-671-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOK",
"first_name": "HENDRIK",
"middle_name": "S",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10005230",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10005230",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA",
"identifier": "2901KO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0225246",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDLAB",
"identifier": "6059600 02",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8494338",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.