Stephen Elbridge Cook, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD9665 Issued in ME

Practice address

185 Townsend Ave Ste R
Boothbay Harbor, ME 04538-1895

Phone

(207) 633-1075

Fax

(207) 633-1067

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

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.

• Nancy J. Oliphant MD PA

  • Family Medicine Physician
  • Boothbay Harbor, ME
  • NPI 1326229741
  NPD
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  NPD (past)
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1710993159
  NPD (past)
• Waldo County General Hospital

  • General Acute Care Hospital
  • Belfast, ME
  • NPI 1295990935
  NPD (past)
• Kayenta Alternative Rural Hospital

  • General Acute Care Hospital
  • Tonalea, AZ
  • NPI 1740359108
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1760529366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FISHER RD.",
            "city": "HOLDEN",
            "state": "ME",
            "postal_code": "04429",
            "telephone_number": "207-843-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE STE R",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381895",
            "telephone_number": "207-633-1075",
            "fax_number": "207-633-1067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Saint Andrews Ln",
            "address_purpose": "LOCATION",
            "city": "Boothbay Harbor",
            "state": "ME",
            "postal_code": "045381731",
            "country_code": "US",
            "telephone_number": "207-633-2121 x1940",
            "fax_number": "207-633-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "STEPHEN",
        "middle_name": "ELBRIDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "009665",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD9665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice W Carter, RPH
• Adrienne Lynn Chase, DPT
• Dimereze Mary Clark, RD, LD
• Sean Colby, L.M.T.
• Adam Comerci, PHARMD
• Stuart N Damon, D.O.
• Dr John F Andrews Jr DMD
• Elizabeth Julia Drury, NP
• Emily Erpenbeck, PHARMD
• Brady Robert Fergola, DC

• Family Medicine Physician in Boothbay Harbor, ME
• Providers in Boothbay Harbor, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.