Individual provider Active NPI

William R Cook, MD

  • Cardiovascular Disease Physician
  • Wauchula, FL
National Provider Identifier
1699700930
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME62166 Issued in FL
Practice address
463 Carlton St
Wauchula, FL 33873-3400
Phone
(863) 767-0522
Fax
(863) 767-0572
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01073621 IN
Cardiovascular Disease Physician 207RC0000X ME62166 FL Primary
Cardiovascular Disease Physician 207RC0000X MD028628E PA

Addresses

Primary practice location

463 Carlton St
Wauchula, FL 33873-3400

Mailing address

463 Carlton St
Wauchula, FL 33873-3400
Phone (863) 767-0522

Other practice location 1

4638 Sun N Lake Blvd
Sebring, FL 33872-2176
Phone (863) 386-0055

Other identifiers 1

IdentifierTypeStateIssuer
0009461800004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070719000765 FL Practitioner - Cardiovascular Disease (Cardiology) 8820199987 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME62166FLMDCardiovascular Disease Physician
01073621INMDCardiovascular Disease Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Jul 1, 2014 Accepting new patients
Adventist Health System-Sunbelt Inc Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jul 1, 2014 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Collier Hma Physician Management LLC Cardiovascular Disease Past Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4638 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 386-0055

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

463 Carlton St
Wauchula, FL 33873
Phone (863) 767-0522

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1699700930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-767-0522",
            "fax_number": "863-767-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-767-0522",
            "fax_number": "863-767-0572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4638 Sun N Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722176",
            "country_code": "US",
            "telephone_number": "863-386-0055",
            "fax_number": "863-386-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01073621",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME62166",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD028628E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009461800004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauchula, FL

Sources for this page

Verify at the official NPI Registry.