Matthew 'Matt' L Cook, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

192460 Issued in TX

Practice address

214 Riley LN
Fredericksburg, TX 78624-3562

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Jan 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• River City Assisting, LLC

  • Surgical Assistant
  • Fredericksburg, TX
  • NPI 1891160032
  NPD
• Sandoval Assisting, LLC

  • Surgical Assistant
  • Fredericksburg, TX
  • NPI 1912860404
  NPD

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1235769555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RILEY LN",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243562",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 RILEY LN",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243562",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MATTHEW 'MATT'",
        "middle_name": "L",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-26",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "1942460",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "192460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Leigh Cole
• Mark C Cole, P.T.
• Senen Colmenero
• Community Medical Rental & Supply Inc
• Heidi Renee Conoley, CSFA
• Cornerstone Caregiving West LLC (Cornerstone Caregiving)
• Karen G Cornett, MD
• Rose Evlynn Cortina, M.D.
• April Ann Cracraft, FNP-BC
• James Michael Crawford, PA-C

• Surgical Assistant in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.