Active NPI
Mark H Cook, M.D.
- Ophthalmology Physician
- Greenville, SC
National Provider Identifier
1629048624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 14261
- Practice address
- 601 Halton Rd
Greenville, SC 29607-3403 - Phone
- (864) 458-7956
- Fax
- (864) 458-8390
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14261 | SC | Primary |
Addresses
Primary practice location
601 Halton Rd
Greenville, SC 29607-3403
Mailing address
1 Doctors Dr
Greenville, SC 29605-4266
Phone (864) 271-3354
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4385112 | Other | SC | AETNA PROVIDER NUMBER |
| 3016069001 | Other | SC | CIGNA PROVIDER NUMBER |
| 142615 | Medicaid | SC | |
| 180018446 | Other | SC | MEDICARE RAILROAD |
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 |
|---|---|---|---|
| 14261 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1629048624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DOCTORS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054266",
"telephone_number": "864-271-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HALTON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073403",
"telephone_number": "864-458-7956",
"fax_number": "864-458-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "14261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4385112",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "3016069001",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142615",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180018446",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.