Active NPI
Roseanne Cook, MD
- Family Medicine Physician
- Pine Apple, AL
National Provider Identifier
1568541720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00013033
- Practice address
- 867 Co. Rd 59
Pineapple, AL 36768 - Phone
- (251) 746-2197
- NPI assigned
- Nov 6, 2006
- Last updated
- Dec 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00013033 | AL | Primary |
Addresses
Primary practice location
867 Co. Rd 59
Pineapple, AL 36768
Mailing address
PO Box 2213
Selma, AL 36702-2213
Phone (251) 746-2197
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00013033 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Medical Program, Inc. | Current | Accepting new patients |
Locations
2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772
867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197
Interoperability endpoints
- https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
dba Uniontown Health Services
- Federally Qualified Health Center (FQHC)
- Uniontown, AL
- NPI 1033298757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1568541720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2213",
"city": "SELMA",
"state": "AL",
"postal_code": "367022213",
"telephone_number": "251-746-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 CO. RD 59",
"city": "PINEAPPLE",
"state": "AL",
"postal_code": "36768",
"telephone_number": "251-746-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ROSEANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00013033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Apple, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.