Individual provider Active NPI

William A Cook, M.D.

  • Urology Physician
  • Ringwood, IL
National Provider Identifier
1740626514
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036043382 Issued in IL
Practice address
6318 Barnard Mill Rd
Ringwood, IL 60072-9637
Phone
(815) 354-3451
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036043382 IL Primary

Addresses

Primary practice location

6318 Barnard Mill Rd
Ringwood, IL 60072-9637

Mailing address

6318 Barnard Mill Rd
Ringwood, IL 60072-9637
Phone (815) 354-3451

Other identifiers 1

IdentifierTypeStateIssuer
036043382MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036043382ILMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1740626514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 BARNARD MILL RD",
            "city": "RINGWOOD",
            "state": "IL",
            "postal_code": "600729637",
            "telephone_number": "815-354-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 BARNARD MILL RD",
            "city": "RINGWOOD",
            "state": "IL",
            "postal_code": "600729637",
            "telephone_number": "815-354-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036043382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043382",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringwood, IL

Sources for this page

Verify at the official NPI Registry.