Active NPI
Nathan Paul Cook, DO
- Pediatrics Physician
- Wilmington, NC
National Provider Identifier
1396918926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2011-00110
- Practice address
- 5710 Oleander Dr Ste 207
Wilmington, NC 28403-4722 - Phone
- (910) 399-1954
- Fax
- (910) 388-2702
- NPI assigned
- Apr 3, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2011-00110 | NC | Primary |
Addresses
Primary practice location
5710 Oleander Dr Ste 207
Wilmington, NC 28403-4722
Mailing address
5710 Oleander Dr Ste 207
Wilmington, NC 28403-4722
Phone (910) 399-1954
Other practice location 1
2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-7360
Other practice location 2
215 Northbrook Dr
Wilmington, NC 28405-8476
Phone (910) 746-8962
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncook710536@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-00110 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dockside Pediatrics, PLLC | Pediatrics | Current | Accepting new patients |
Locations
5710 Oleander Dr
Ste 207
Wilmington, NC 28403
Phone (910) 395-5066
Interoperability endpoints
- ncook@crhn.cernerdirect.com
- ncook710536@direct.unc.nchie.net
- ncook1244738@direct.novanthealth.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Wilmington, NC
- NPI 1740766815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1396918926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 207",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034722",
"telephone_number": "910-399-1954",
"fax_number": "910-388-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 207",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034722",
"telephone_number": "910-399-1954",
"fax_number": "910-388-2702"
}
],
"practiceLocations": [
{
"address_1": "2131 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017407",
"country_code": "US",
"telephone_number": "910-667-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 Northbrook Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284058476",
"country_code": "US",
"telephone_number": "910-746-8962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "NATHAN",
"middle_name": "PAUL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2011-00110",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncook710536@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2131 S 17th St",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.