NPIMap

Individual provider Active NPI

Craig Cookman, DO

  • Pulmonary Disease Physician
  • Omaha, NE
National Provider Identifier
1770997462
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2186 Issued in NE
Practice address
7710 Mercy Rd Ste 3000
Omaha, NE 68124-2350
Phone
(402) 717-9600
Fax
(402) 829-8513
NPI assigned
Jun 20, 2014
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2186 NE Primary
Pulmonary Disease Physician 207RP1001X DO-05616 IA

Addresses

Primary practice location

7710 Mercy Rd Ste 3000
Omaha, NE 68124-2350

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315003034 MO Practitioner - Internal Medicine 8426274366 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2186NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy St. Francis Hospital CurrentSince Jan 1, 2024 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jan 1, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince Jan 1, 2024 Accepting new patients
Mercy Clinic Joplin LLC Internal Medicine CurrentSince Jan 5, 2026 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Jan 27, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince Jan 1, 2024 Accepting new patients
Mercy Hospital Aurora CurrentSince Jan 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 27, 2024 Accepting new patients
Mercy Hospital Aurora CurrentSince Jan 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 27, 2024 Accepting new patients
Mercy Hospital Springfield Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 570
Joplin, MO 64804
Phone (417) 556-6488

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1770997462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6248",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 3000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242350",
            "telephone_number": "402-717-9600",
            "fax_number": "402-829-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKMAN",
        "first_name": "CRAIG",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NE",
            "license": "2186",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "DO-05616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.