Eric T Cook, DO
Individual provider Active NPI Emergency Medicine Physician · Hammond, IN
NPI 1295728871 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1295728871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 02002624A (IN)
- Practice address
- 5454 Hohman Ave
Hammond, IN 46320-1931 - Phone
- (219) 933-2077
- Fax
- (219) 864-2649
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarksville Emergency Group PC
Madison Memorial Hospital
Practice addresses (Care Compare)
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
450 E Main St
Reburg, ID 83440-2048
Phone (208) 359-6516
Hospital & facility affiliations
- Madison Memorial Hospital
- Franciscan Health Munster
- Franciscan Health Dyer
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100520000736 | IN | Practitioner - Emergency Medicine | 9436288909 | Reassigns benefits to 3 organizations |
| I20250424002403 | ID | Practitioner - Emergency Medicine | 9436288909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002624A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Memorial Hospital | Current |
Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Clarksville Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current |
Accepting new patients | |
| Franciscan St Margaret Health | Emergency Medicine | Past | Accepting new patients |
| Franciscan St Margaret Health | Emergency Medicine | Past | Accepting new patients |
Locations
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
24 Joliet St
Ste 101
Dyer, IN 46311
Phone (219) 864-2059
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
200 Corporate Blvd
Lafayette, LA 70508
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/
- ecook65669@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02002624A | IN | Yes |
Addresses
Primary practice location
5454 Hohman Ave
Hammond, IN 46320-1931
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
Other practice location 1
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036103710 | Medicaid | IL | |
| 200444240 | Medicaid | IN | |
| 90001358 | Other | IL | BCBSIL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecook@direct.iuhealth.org | Direct |
Other providers in Hammond, IN
- Community Healthnet, Inc
- Community Outreach Advocates Incorporated
- Comprehensive Surgical Services LLC
- Concentra Health Services, Inc.
- Connecticut General Life Insurance Company
- Olivia A Cooley
- Qiana Cooper
- Claire Elizabeth Cordray
- Core Diagnostics LLC
- John Phillip Cosgrove
All providers in Hammond, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.