Albert Crook, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0-134 Issued in ID

Legal business name

ALBERT CROOK, DO

Practice address

1103 W. Ironwood Drive
Suite a
Coeur D' Alene, ID 83814-2604

Phone

(208) 667-9400

Fax

(208) 667-2119

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Albert Allen Crook, D.O.

Title

Owner

Phone

(208) 667-9400

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1801816632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W. IRONWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-667-9400",
            "fax_number": "208-667-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W. IRONWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-667-9400",
            "fax_number": "208-667-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT CROOK, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-667-9400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "0-134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "S5452",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF ID",
            "identifier": "000010138014",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806409200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Nicole Aggen, D.C.
• Ahc Home Health of Coeur D Alene LLC
• Ahc of Coeur D Alene LLC
• Ahhpc Corp
• Gregory W Aiman, DMD
• Vanessa Rachelle Albert, NP-C
• Sonja Marie Alberti, MA
• Kelli Alcantara
• Tracey L Alcorn, PTA
• Mark Alderink, PHARMD

• Psychiatry Physician in Coeur D' Alene, ID
• Providers in Coeur D' Alene, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.