Active NPI
Jacqueline L Peyton-Cook, M.D.
- Obstetrics & Gynecology Physician
- Cleveland, OH
National Provider Identifier
1720035769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35-054896
- Practice address
- 11201 Shaker Blvd
Cleveland, OH 44104-3869 - Phone
- (216) 417-8813
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35-054896 | OH | Primary |
Addresses
Primary practice location
11201 Shaker Blvd
Cleveland, OH 44104-3869
Mailing address
2683 Belvoir Blvd
Shaker Heights, OH 44122-1923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0666757 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-054896 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Lakewood Hospital Association | Past | Accepting new patients | |
| Lakewood Hospital Association | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- jpeytoncook92686@direct.metrohealth.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Family Medicine Physician
- Lakewood, OH
- NPI 1205933512
Obstetrics & Gynecology
-
- Pharmacy
- Lakewood, OH
- NPI 1386089670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1720035769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2683 BELVOIR BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441221923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 SHAKER BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043869",
"telephone_number": "216-417-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYTON-COOK",
"first_name": "JACQUELINE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35-054896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0666757",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.