Individual provider Active NPI

Theodore R Cook, MD

  • Emergency Medicine Physician
  • Newton, KS
National Provider Identifier
1669582102
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-23091 Issued in KS
Practice address
301 N Main St
Ste 300
Newton, KS 67114-3444
Phone
(316) 282-9614
Fax
(316) 284-9602
NPI assigned
Aug 30, 2006
Last updated
Sep 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-23091 KS Primary
Family Medicine Physician 207Q00000X 04-23091 KS

Addresses

Primary practice location

301 N Main St
Ste 300
Newton, KS 67114-3444

Mailing address

301 N Main St
Ste 300
Newton, KS 67114-3444
Phone (316) 282-9614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080124000468 KS Practitioner - Emergency MedicinePractitioner - Family Practice 1951483304 Reassigns benefits to 3 organizations
I20170911001437 MO Practitioner - Emergency Medicine 1951483304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami County Medical Center IncGroup PAC ID 2163311457, 25 clinicians
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-23091KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Aug 30, 2023 Accepting new patients
Western Missouri Medical Center CurrentSince Aug 30, 2023 Accepting new patients
Bothwell Regional Health Center Current Accepting new patients
Miami County Medical Center Inc. CurrentSince Sep 7, 2021 Accepting new patients
Bothwell Regional Health Center Family Medicine CurrentSince Jul 16, 2022 Accepting new patients
Bothwell Regional Health Center CurrentSince Jul 16, 2022 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Lincoln County Hospital CurrentSince May 1, 2016 Accepting new patients
Newton Healthcare Corporation Family Medicine Current Accepting new patients
Miami County Medical Center Inc Emergency Medicine CurrentSince Sep 7, 2021 Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients

Locations

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: tcook755556@direct.kuha.org
  • Direct secure messaging: theodore.cook@directsbamh.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1669582102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "STE 300",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143444",
            "telephone_number": "316-282-9614",
            "fax_number": "316-284-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "STE 300",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143444",
            "telephone_number": "316-282-9614",
            "fax_number": "316-284-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "THEODORE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-23091",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-23091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.