Active NPI
Nelson Roger Cooke, M.D
- Neurology Physician
- Spokane, WA
National Provider Identifier
1780612291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00014697
- Practice address
- 212 E Central
Ste 440
Spokane, WA 99208 - Phone
- (509) 252-9602
- Fax
- (509) 789-9031
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 15, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD00014697 | WA | Primary |
Addresses
Primary practice location
212 E Central
Ste 440
Spokane, WA 99208
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB32999 | Other | WA | MDC GROUP |
| 35-9723 | Medicaid | MT | |
| 31509 | Other | WA | LABOR AND INDUSTRIES |
| 003168000 | Medicaid | ID | |
| 1046101 | Medicaid | WA | |
| 268 | Other | GROUP HEALTH | |
| 907228400 | Medicaid | FL | |
| 4853935 | Medicaid | CA | |
| E01203 | Other | ASURIS | |
| KA634 | Other | BLUE CROSS OF IDAHO |
Other names 1
- Dr. N. Roger Cooke
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Spokane | Neurology | Past | Accepting new patients |
Interoperability endpoints
- ncooke214290@wm.providencedirect.org
Organizations & group practices 1
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.
-
- Neurology Physician
- Spokane, WA
- NPI 1477690618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1780612291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E CENTRAL",
"address_2": "STE 440",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99208",
"telephone_number": "509-252-9602",
"fax_number": "509-789-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "NELSON",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00014697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDC GROUP",
"identifier": "AB32999",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35-9723",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "31509",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003168000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1046101",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "268",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "907228400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4853935",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "E01203",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "KA634",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N.",
"last_name": "COOKE",
"middle_name": "ROGER",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.