Individual provider Active NPI

Randy A Cook, D.O.

  • Internal Medicine Physician
  • Hays, KS
National Provider Identifier
1508832171
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-19914 Issued in KS
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100232820BMedicaidKS

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

LicenseStateTypeSpecialty
05-19914KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.