Emily Cook, DO
Individual provider Active NPI Family Medicine Physician · Centerville, UT
NPI 1508124264 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1508124264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9540057-1204 (UT)
- Practice address
- 25 S Main St Ste 202
Centerville, UT 84014-1840 - Phone
- (801) 663-6656
- Fax
- (801) 810-1696
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Doctors at Home PC
Practice addresses (Care Compare)
12600 Whitewater Dr
Suite 125
Minnentonka, MN 55343-4602
Phone (952) 562-1235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150812008797 | UT | Practitioner - Family Practice | 4183867088 | Reassigns benefits to 1 organization |
| I20250314001235 | MN | Practitioner - Family Practice | 4183867088 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9540057-1204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Recovery, LLC | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current |
Accepting new patients |
| Doctors at Home PC | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
12600 Whitewater Dr
Ste 125
Minnetonka, MN 55343
Phone (612) 859-7732
12600 Whitewater Dr
Ste 12
Minnetonka, MN 55343
Phone (952) 562-1235
25 S Main St
Ste 202
Centerville, UT 84014
Phone (801) 663-6656
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200
Interoperability endpoints
- emilycookdo@org73.direct.charmhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9540057-1204 | UT | Yes |
Addresses
Primary practice location
25 S Main St Ste 202
Centerville, UT 84014-1840
Mailing address
1538 27TH St
Ogden, UT 84403-0411
Phone (480) 570-2580
Other practice location 1
12600 Whitewater Dr Ste 125
Minnetonka, MN 55343-4602
Phone (952) 562-1235
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Emilycookdo@org67.direct.charmhealth.com | Health Information Exchange (HIE) |
Other providers in Centerville, UT
- Cherry Creek Assisted Living, LLC
- Lindsey Clark
- Madeline Claude
- Nicholas Cloward
- Cory Cook
- Karen Clark Coulam
- Counseling Center LLC
- Christy Parrish Cox
- Craig Pew O.D., Inc
- Crossroads Counseling, PLLC
All providers in Centerville, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.