NPIMap

Individual provider Active NPI

Gregory P Cook, MD

  • Urology Physician
  • Sandusky, OH
National Provider Identifier
1528064904
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35062615 Issued in OH
Practice address
2800 Hayes Ave
BLDG D
Sandusky, OH 44870-7252
Phone
(419) 627-8771
Fax
(419) 627-0363
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35062615 OH Primary

Addresses

Primary practice location

2800 Hayes Ave
BLDG D
Sandusky, OH 44870-7252

Mailing address

2800 Hayes Ave
BLDG D
Sandusky, OH 44870-7252
Phone (419) 627-8771

Other identifiers 4

IdentifierTypeStateIssuer
921579OtherOHAETNA
000000131161OtherOHANTHEM
02573OtherOHPARAMOUNT
2008071MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000756 OH Practitioner - Urology 8921902388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Ohio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

2800 Hayes Ave
BLDG D
Sandusky, OH 44870-7252
Phone (419) 627-8771

Hospital & facility affiliations

  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC CurrentSince Jan 7, 2019 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

290 Progress Dr
Ste C
Bellevue, OH 44811
Phone (419) 484-1701

278 Benedict Ave
Ste 650
Norwalk, OH 44857
Phone (419) 660-9675

34 Executive Dr
Norwalk, OH 44857
Phone (419) 668-0680

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

2800 Hayes Ave
Bldg D
Sandusky, OH 44870
Phone (419) 627-8771

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1528064904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE",
            "address_2": "BLDG D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707252",
            "telephone_number": "419-627-8771",
            "fax_number": "419-627-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE",
            "address_2": "BLDG D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707252",
            "telephone_number": "419-627-8771",
            "fax_number": "419-627-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "GREGORY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35062615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "921579",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000131161",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02573",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.