Individual provider Active NPI

Timothy H Cook, MD

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1578567533
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
21344 Issued in OK
Practice address
3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone
(405) 917-3518
Fax
(405) 951-4361
NPI assigned
Jun 8, 2005
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21344 OK
Hospitalist Physician 208M00000X 21344 OK Primary

Addresses

Primary practice location

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430

Mailing address

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone (405) 917-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180319001127 TX Practitioner - Internal Medicine 1456318062 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21344OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 5, 2018 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 5, 2018 Accepting new patients
Timothy H Cook MD PLLC Internal Medicine PastSince Jul 6, 2010 Accepting new patients
Baha Al Deen Abuesheh MD PC Past Accepting new patients
Deaconess Physician Services LLC Internal Medicine Past Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients
Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA Past Accepting new patients

Organizations & group practices 7

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1578567533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-917-3518",
            "fax_number": "405-951-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-917-3518",
            "fax_number": "405-951-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TIMOTHY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21344",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.