Active NPI
Randy A Cook, D.O.
- Internal Medicine Physician
- Hays, KS
National Provider Identifier
1508832171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 05-19914
- Practice address
- 2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375 - Phone
- (785) 623-2312
- Fax
- (785) 623-2323
- NPI assigned
- Feb 24, 2006
- Last updated
- Dec 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 05-19914 | KS | Primary |
Addresses
Primary practice location
2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375
Mailing address
2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375
Phone (785) 623-2312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232820B | Medicaid | KS |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-19914 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galichia Medical Group, P.a. | Internal Medicine | Past | Accepting new patients |
| Hays Medical Center, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1447238621
Internal Medicine
-
dba Hays Medical Group
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1508832171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 CANTERBURY DR",
"address_2": "SUITE 202",
"city": "HAYS",
"state": "KS",
"postal_code": "676012375",
"telephone_number": "785-623-2312",
"fax_number": "785-623-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 CANTERBURY DR",
"address_2": "SUITE 202",
"city": "HAYS",
"state": "KS",
"postal_code": "676012375",
"telephone_number": "785-623-2312",
"fax_number": "785-623-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "RANDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "05-19914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100232820B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.