Individual provider Active NPI

John C Cook, D.O.

  • Family Medicine Physician
  • Barberton, OH
National Provider Identifier
1467443580
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-005018 Issued in OH
Practice address
101 5TH Street SE
Suite G
Barberton, OH 44203-4225
Phone
(330) 745-3151
Fax
(330) 745-9984
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34005018C OH
Family Medicine Physician 207Q00000X 34-005018 OH Primary

Addresses

Primary practice location

101 5TH Street SE
Suite G
Barberton, OH 44203-4225

Mailing address

101 5TH Street SE
Suite G
Barberton, OH 44203-4225
Phone (330) 745-3151

Other identifiers 4

IdentifierTypeStateIssuer
Q018628AOtherOHHOMETOWN
0857694MedicaidOH
4230305OtherAETNA
198OtherOHSUMMACARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060105000499 OH Practitioner - Family Practice 8820078538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Primary Care LLCGroup PAC ID 1759454812, 4 clinicians

Practice addresses (Care Compare)

101 5TH St SE
Suite G
Barberton, OH 44203-4225
Phone (330) 745-3151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-005018OHMDFamily Medicine Physician
34005018COHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Primary Care LLC Family Medicine CurrentSince Aug 1, 2008 Accepting new patients

Locations

101 5th St SE
Ste G
Barberton, OH 44203
Phone (330) 745-3151

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIIFAA

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.

Hospital & facility affiliations 5

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1467443580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH STREET SE",
            "address_2": "SUITE G",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034225",
            "telephone_number": "330-745-3151",
            "fax_number": "330-745-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH STREET SE",
            "address_2": "SUITE G",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034225",
            "telephone_number": "330-745-3151",
            "fax_number": "330-745-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005018C",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-005018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN",
            "identifier": "Q018628A",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0857694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4230305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.