Jeffry A Cooke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051197 Issued in PA

Practice address

5275 Lincoln Hwy
Gap, PA 17527-9427

Phone

(717) 442-8111

Fax

(717) 442-8981

NPI assigned

Jul 6, 2006

Last updated

Oct 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Emergency Medicine Physician
  • Ephrata, PA
  • NPI 1336286285
  Medicare reassignment
• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Psychiatric Hospital Unit
  • Ephrata, PA
  • NPI 1215452354
  NPD
• Ephrata Community Hospital

  • Emergency Medicine Physician
  • Ephrata, PA
  • NPI 1699802454
  NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1639101389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 LINCOLN HWY",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279427",
            "telephone_number": "717-442-8111",
            "fax_number": "717-442-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 LINCOLN HWY",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279427",
            "telephone_number": "717-442-8111",
            "fax_number": "717-442-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JEFFRY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Stevenson Cantrell, MFT
• Man Yee Chan, D.M.D.
• Christiana Community Ambulance Association Inc
• Elizabeth Church, CRNP
• Commonwealth Emergency Crisis Response, Inc.
• Tim H Darragh, PHARM D
• Emmajane Robinson Denlinger
• Melissa Regina Dewalt, DC, MS
• Dr. William L. Hook DMD PC
• Family Resource & Counseling Center, Inc.

• Physician Assistant in Gap, PA
• Providers in Gap, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.