Organization Active NPI

H. Russell Cook, P.C.

  • Primary Care Clinic/Center
  • Enterprise, AL
National Provider Identifier
1710322987
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
DO126 Issued in AL
Legal business name
H. RUSSELL COOK, P.C.
Practice address
207 E Watts St
Suite 220
Enterprise, AL 36330-1801
Phone
(334) 393-1056
Fax
(334) 393-6187
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. H. Russell Cook, D.O.
Title
Owner
Phone
(334) 393-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X DO126 AL Primary

Addresses

Primary practice location

207 E Watts St
Suite 220
Enterprise, AL 36330-1801

Mailing address

PO Box 310210
Enterprise, AL 36331-0210
Phone (334) 393-1056

Other identifiers 1

IdentifierTypeStateIssuer
000014819MedicaidAL

Other names 1

  • H. Russell Cook, D.O. Doing business as

National Provider Directory

National Provider Directory

Locations

207 E Watts St
Ste 220
Enterprise, AL 36330
Phone (334) 348-8851

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1710322987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310210",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363310210",
            "telephone_number": "334-393-1056",
            "fax_number": "334-393-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E WATTS ST",
            "address_2": "SUITE 220",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301801",
            "telephone_number": "334-393-1056",
            "fax_number": "334-393-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. RUSSELL COOK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-393-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "DO126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014819",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H. Russell Cook, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.