NPIMap

Individual provider Active NPI

Thomas R Cook, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1508810839
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05138 Issued in TX
Practice address
227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone
(210) 901-5861
Fax
(855) 847-0003
NPI assigned
May 20, 2006
Last updated
Oct 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05138 TX Primary

Addresses

Primary practice location

227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450

Mailing address

227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone (210) 901-5861

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.cook.1@18195.direct.athenahealth.com 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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Institute PLLC PastSince Nov 12, 2012 Accepting new patients
Health Resolutions, Inc Past Accepting new patients
Surgeonone Inc Past Accepting new patients
Central Texas Pain Center, PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1508810839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N LOOP 1604 E STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321450",
            "telephone_number": "210-901-5861",
            "fax_number": "855-847-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N LOOP 1604 E STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321450",
            "telephone_number": "210-901-5861",
            "fax_number": "855-847-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.cook.1@18195.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "The Direct address is a system-generated address that providers use for the secure transfer of files containing clinical data.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "227 N Loop 1604 E Ste 150",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; 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.