Terry R Cook, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

540 Issued in CO

Practice address

1478 East Hwy 162
Montezuma Creek, UT 84534

Phone

(435) 651-3700

NPI assigned

Jun 1, 2005

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in UT, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Navajo Health System IncorporatedGroup PAC ID 1658275649, shared by 4 NPIs, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Mountain Hospital Hospital, Blanding, UT, CCN 461310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terry.cook.1@16098.direct.athenahealth.com
• Direct secure messaging: terry.cook.1@16299.direct.athenahealth.com

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.

• Utah Navajo Health System, Incorporated

  dba Montezuma Creek Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Montezuma Creek, UT
  • NPI 1811991151
  Medicare reassignment NPD
• Southern Colorado Ute Service Unit

  • Federal Public Health Clinic/Center
  • Towaoc, CO
  • NPI 1255422788

  TX

  Medicare reassignment NPD
• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Medicare reassignment
• Cook Foot and Ankle LLC

  • Podiatrist
  • Montezuma Creek, UT
  • NPI 1346802824
  Authorized official Same address or phone
• Jason B Dickerson DPM LC

  dba Utah Bone and Joint Specialists

  • Foot & Ankle Surgery Podiatrist
  • Murray, UT
  • NPI 1164925467
  NPD
• Utah Navajo Health System, Incorporated

  dba Blanding Family Practice Community Health Center

  • Family Medicine Physician
  • Blanding, UT
  • NPI 1457489486
  NPD
• Utah Navajo Health System, Incorporated

  • Land Ambulance
  • Montezuma Creek, UT
  • NPI 1598198434
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1285636449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25543 ROAD N.6 LOOP",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813218404",
            "telephone_number": "970-565-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 EAST HWY 162",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "84534",
            "telephone_number": "435-651-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 Rustling Willow St",
            "address_purpose": "LOCATION",
            "city": "Towaoc",
            "state": "CO",
            "postal_code": "813345062",
            "country_code": "US",
            "telephone_number": "970-565-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "TERRY",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "540",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "3406870501",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF CO",
            "identifier": "50763",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BCBS CO",
            "identifier": "609395",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023719",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HMO",
            "identifier": "870579394001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis Adamson Black, DC
• James W Bonds, M.D.
• Brian F. Olsen, DDS, PLLC
• Aeron Clason, RD
• Cook Foot and Ankle LLC
• William A Cuskelly, MD
• Dick Nathan Einerson, DMD
• Kimberly Fairley, MD
• Charlotte Gibbons, LCSW
• Brian James Gilson, PHARM.D.

• Foot Surgery Podiatrist in Montezuma Creek, UT
• Providers in Montezuma Creek, UT by specialty
• Foot Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.

Verify at the official NPI Registry.