Individual provider Active NPI

Ruth E Cook, CCC/A

  • Audiologist
  • Portland, ME
National Provider Identifier
1689663080
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP1052 Issued in ME
Practice address
1250 Forest Ave
Suite 301
Portland, ME 04103-1884
Phone
(207) 797-5753
Fax
(207) 878-1715
NPI assigned
Oct 18, 2005
Last updated
Apr 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP1052 ME Primary

Addresses

Primary practice location

1250 Forest Ave
Suite 301
Portland, ME 04103-1884

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Other identifiers 2

IdentifierTypeStateIssuer
317990099MedicaidME
027843OtherMEANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000227 ME Practitioner - Qualified Audiologist 8123191442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

30 W Cole Rd
Biddeford, ME 04005-9453
Phone (207) 284-6673

92 Campus Dr
Scarborough, ME 04074-7229

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 15, 2015 Accepting new patients
Maine Medical Partners CurrentSince Oct 1, 2010 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Nov 15, 2015 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Audiologist CurrentSince Oct 1, 2010 Accepting new patients

Locations

1250 Forest Ave
Portland, ME 04103
Phone (207) 797-5753

1250 Forest Ave
Ste 301
Portland, ME 04103
Phone (207) 797-5753

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

244 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3355

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1689663080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-797-5753",
            "fax_number": "207-878-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "RUTH",
        "middle_name": "E",
        "credential": "CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317990099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "027843",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.