Active NPI
John W. Cooke, D.O., P.a
- Internal Medicine Physician
- Tavares, FL
National Provider Identifier
1750577458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS4437
- Legal business name
- JOHN W. COOKE, D.O., P.A
- Practice address
- 2038 Classique LN
Tavares, FL 32778-5787 - Phone
- (352) 357-3107
- Fax
- (352) 357-9971
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John W Cooke, DO
- Title
- Owner/President
- Phone
- (352) 357-3107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS4437 | FL | Primary |
Addresses
Primary practice location
2038 Classique LN
Tavares, FL 32778-5787
Mailing address
2038 Classique LN
Tavares, FL 32778-5787
Phone (352) 357-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tavares, FL
- NPI 1528071958
-
- Otolaryngology Physician
- Tavares, FL
- NPI 1679548473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1750577458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 CLASSIQUE LN",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785787",
"telephone_number": "352-357-3107",
"fax_number": "352-357-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 CLASSIQUE LN",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785787",
"telephone_number": "352-357-3107",
"fax_number": "352-357-9971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN W. COOKE, D.O., P.A",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "COOKE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "352-357-3107",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS4437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.