Albert Allen Crook, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0134 Issued in ID

Practice address

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

Phone

(208) 667-9400

Fax

(208) 667-9400

NPI assigned

Oct 11, 2005

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 31, 2018 through Oct 31, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Albert Crook, DO

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1801816632
  Authorized official Same address or phone
• St Luke's Clinic LLC

  dba St Lukes Clinic - Magic Valley/Jerome

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229
  NPD (past)
• St Luke's Magic Valley Regional Medical Center LTD

  dba St Lukes Retail Pharmacy Twin Falls

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1811985146",
    "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": "208-667-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "ALBERT",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "0134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010138014",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "S5452",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806409200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Leroy Crettol, L.M.T.
• Richard V Cripe, PHYD
• Jonathan David Crisman, HIS
• Krista L Criswell, DIETITIAN
• Karyn L Crone, LMSW
• Mark Cross, PA-C
• Theresa Cross, SLP-CCC
• Carol J Croteau, LCSW
• Briana Crotinger, LMT
• Pamela Diane Crowe

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.