Cheryl Lynn Cook, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25781 Issued in KY

Practice address

900 Saint Christopher Drive
Building 4, Suite 101
Ashland, KY 41101-7032

Phone

(606) 836-0919

Fax

(606) 836-2847

NPI assigned

Jun 8, 2005

Last updated

Feb 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1669476685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DRIVE",
            "address_2": "BUILDING 4, SUITE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017032",
            "telephone_number": "606-836-0919",
            "fax_number": "606-836-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DRIVE",
            "address_2": "BUILDING 4, SUITE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017032",
            "telephone_number": "606-836-0919",
            "fax_number": "606-836-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "25781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000550498",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000049253",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665310",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64257819",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Conley
• Shayna L Conley
• Susan Conley, COTA
• Tabatha Coody
• Caitlin Cook
• Madison Cook
• Samantha L Cook, M.D.
• William Brian Cook, LPCC
• Carol H Cooper, M.D.
• Lori Cooper

• Pediatrics Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.