Individual provider Active NPI

Rachel Grider Cook, DO

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1578133682
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT021224 Issued in PA
Practice address
232 W 25TH St
Erie, PA 16544-0001
Phone
(814) 452-5000
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT021224 PA Primary

Addresses

Primary practice location

232 W 25TH St
Erie, PA 16544-0001

Mailing address

5 W Metcalf St
Erie, PA 16508-2937
Phone (580) 775-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240131000063 NY Practitioner - Emergency Medicine 3678926243 Reassigns benefits to 1 organization
I20240516000548 PA Practitioner - Emergency Medicine 3678926243 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT021224PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Jan 4, 2024 Accepting new patients
Ahn Observation Group LLC Emergency Medicine CurrentSince May 7, 2024 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1578133682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W METCALF ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082937",
            "telephone_number": "580-775-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440001",
            "telephone_number": "814-452-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDER COOK",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT021224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.