Active NPI
John C Cook, D.O.
- Family Medicine Physician
- Barberton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-005018
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q018628A | Other | OH | HOMETOWN |
| 0857694 | Medicaid | OH | |
| 4230305 | Other | AETNA | |
| 198 | Other | OH | SUMMACARE |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-005018 | OH | MD | Family Medicine Physician |
| 34005018C | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Primary Care LLC | Family Medicine | Current | Accepting new patients |
Locations
101 5th St SE
Ste G
Barberton, OH 44203
Phone (330) 745-3151
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Barberton, OH
- NPI 1528227964
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
dba Summa Health System Ignatia Hall South
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
-
dba Summa Health at Home
- Home Health Agency
- Akron, OH
- NPI 1013422534
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.