Douglas B Cook, D.C.
Individual provider Active NPI Chiropractor · Weatherford, OK
NPI 1659301059 · NPPES record last updated Dec 14, 2010
Key facts
- NPI
- 1659301059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2452 (OK)
- Practice address
- 1108 N. Washington
Weatherford, OK 73096 - Phone
- (580) 774-2214
- Fax
- (580) 774-2843
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110531000056 | OK | Practitioner - Chiropractic | 1658375431 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2452 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Physicians Clinic | Chiropractor | Current |
Accepting new patients |
| Fresh Medical LLC | Current |
Accepting new patients |
Locations
1108 N Washington St
Weatherford, OK 73096
Phone (580) 774-2214
4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2452 | OK | Yes |
Addresses
Primary practice location
1108 N. Washington
Weatherford, OK 73096
Mailing address
PO Box 2055
Weatherford, OK 73096-8055
Phone (580) 774-2214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731338194 | Other | CIGNA | |
| 731338194 | Other | PPO OK |
Other providers in Weatherford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.