Individual provider Active NPI

Judson Howard Cook, MD

  • Neurological Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1386603553
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
6709A Issued in WY
Practice address
1950 Bluegrass Cir
Ste 170
Cheyenne, WY 82009-7323
Phone
(307) 778-2860
Fax
(307) 778-2866
NPI assigned
Mar 17, 2006
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 6709A WY Primary

Addresses

Primary practice location

1950 Bluegrass Cir
Ste 170
Cheyenne, WY 82009-7323

Mailing address

1950 Bluegrass Cir
Ste 170
Cheyenne, WY 82009-7323
Phone (307) 778-2860

Other identifiers 1

IdentifierTypeStateIssuer
119195100MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUDSON.COOK@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110001408 TX Practitioner - NeurosurgeryPractitioner - General Surgery 7810987187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: General Surgery
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. David's Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1201 W Louis Henna Blvd
Austin, TX 78681-2301
Phone (512) 248-7000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

2217 Park Bend Dr
Suite 400
Austin, TX 78758-5674
Phone (512) 306-1323

2300 Round Rock Ave
Suite 201
Round Rock, TX 78681-4026
Phone (512) 341-6612

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-1000

4810 Gattis School Rd
Suite 100
Hutto, TX 78634-2037
Phone (512) 730-0000

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion93
Laminectomy or laminotomy (partial removal of spine bones)25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6709AWYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Itachico, PLLC Current Accepting new patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Feb 27, 2019 Accepting new patients
Neurotexas, PLLC Neurological Surgery Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

2200 Park Bend Dr
Ste 201
Austin, TX 78758
Phone (512) 400-4195

2217 Park Bend Dr
Ste 400
Austin, TX 78758

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

Interoperability endpoints

  • Direct secure messaging: 305-judson-cook@direct.leadingreach.com
  • Direct secure messaging: judson.cook@hca8.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1386603553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR",
            "address_2": "STE 170",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097323",
            "telephone_number": "307-778-2860",
            "fax_number": "307-778-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR",
            "address_2": "STE 170",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097323",
            "telephone_number": "307-778-2860",
            "fax_number": "307-778-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JUDSON",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WY",
            "license": "6709A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119195100",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUDSON.COOK@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1950 Bluegrass Cir",
            "address_2": "STE 170",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820097323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.