Active NPI
Harold E Cook III, M.D.
- Anesthesiology Physician
- Powell, OH
National Provider Identifier
1265469019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35067627
- Practice address
- 165 Ravine Ridge Dr
Powell, OH 43065-9322 - Phone
- (330) 466-5189
- NPI assigned
- Jun 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35067627 | OH | Primary |
Addresses
Primary practice location
165 Ravine Ridge Dr
Powell, OH 43065-9322
Mailing address
165 Ravine Ridge Dr
Powell, OH 43065-9322
Phone (330) 466-5189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123360 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067627 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Health System Anesthesia | Anesthesiology | Past | Accepting new patients |
| Memorial Hospital | Past | Accepting new patients | |
| Licking Memorial Professional Corporation | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Newark, OH
- NPI 1376585430
Anesthesiology
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265469019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 RAVINE RIDGE DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430659322",
"telephone_number": "330-466-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 RAVINE RIDGE DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430659322",
"telephone_number": "330-466-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "HAROLD",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35067627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123360",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.