Individual provider Active NPI

Patrick Martin Cooney

  • Physician Assistant
  • New Baltimore, MI
National Provider Identifier
1811527682
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.