Dwayne L.. Cook, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301074284 Issued in MI

Practice address

1200 56TH St SW
Wyoming, MI 49509-9704

Phone

(616) 243-5707

Fax

(616) 243-1170

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Spectrum Health Hospitals

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1598712390
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1447229125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 ALGOMA AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419102",
            "telephone_number": "616-863-6220",
            "fax_number": "616-863-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 56TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099704",
            "telephone_number": "616-243-5707",
            "fax_number": "616-243-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DWAYNE",
        "middle_name": "L..",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074284",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301074284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11274020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concierge Home Health Company
• Megan Leigh Cone
• Sheryl Conine, RN
• Colleen Connors, OTR/L
• Bradley Dean Conrad, D.C
• Ethan Gregory Cook
• Veronica Sue Cook
• Steven Coomes, PH.D.
• Douglas Arthur Coon, O.D.
• Rebecca Ellen Coppess, OTR/L

• Internal Medicine Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.