Active NPI
Patrick Martin Cooney
- Physician Assistant
- New Baltimore, MI
National Provider Identifier
1811527682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 35031 23 Mile Rd
New Baltimore, MI 48047-3649 - Phone
- (586) 684-4870
- NPI assigned
- Jan 21, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
35031 23 Mile Rd
New Baltimore, MI 48047-3649
Mailing address
13302 Kingston Ave
Huntington Woods, MI 48070-1019
Other practice location 1
131 Kercheval Ave
Grosse Pointe Farms, MI 48236-3629
Phone (313) 885-6400
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Adamo, M.D., P.C. | Current | Accepting new patients |
Locations
131 Kercheval Ave
Ste 390
Grosse Pointe Farms, MI 48236
Phone (313) 885-0052
Interoperability endpoints
- pcooney601258@direct.hfhs.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 and National Provider Directory roles.
-
- Psychiatry Physician
- Grosse Pointe Farms, MI
- NPI 1932367109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1811527682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13302 KINGSTON AVE",
"city": "HUNTINGTON WOODS",
"state": "MI",
"postal_code": "480701019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35031 23 MILE RD",
"city": "NEW BALTIMORE",
"state": "MI",
"postal_code": "480473649",
"telephone_number": "586-684-4870"
}
],
"practiceLocations": [
{
"address_1": "131 Kercheval Ave",
"address_purpose": "LOCATION",
"city": "Grosse Pointe Farms",
"state": "MI",
"postal_code": "482363629",
"country_code": "US",
"telephone_number": "313-885-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COONEY",
"first_name": "PATRICK",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Baltimore, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.