Dwayne Robert Cook I, RT

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

0120002367 Issued in VA

Practice address

420 N Center Dr
Suite 230
Norfolk, VA 23502-4007

Phone

(757) 466-1163

Fax

(757) 466-1178

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Dwayne R Cook Heritage Mobile X-Ray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Norfolk, VA
  • NPI 1588838817
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1386866051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2145",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233272145",
            "telephone_number": "757-466-1163",
            "fax_number": "757-466-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "address_2": "SUITE 230",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024007",
            "telephone_number": "757-466-1163",
            "fax_number": "757-466-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DWAYNE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "VA",
            "license": "0120002367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consultants in Pain Management, Inc
• Consultants in Pain Management, Inc
• Contemporary OB-GYN Associates LTD
• Lorie Ann Conza, NP-C
• Chris Cecil Cook, M.D.
• Erika Cook, FNP
• Gary Louis Cook II
• John J Cook, MD
• Susan Michelle Cook, PT DPT
• Cambrie Cooke, LAT, ATC

• Radiography Radiologic Technologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Radiography Radiologic Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.