Active NPI
David Gerard Mook, M.D.
- Internal Medicine Physician
- Laurie, MO
National Provider Identifier
1841299740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R8000
- Practice address
- 156 Missouri Blvd
Suite B
Laurie, MO 65038 - Phone
- (573) 374-5263
- Fax
- (573) 374-4933
- NPI assigned
- Jul 21, 2005
- Last updated
- Aug 2, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R8000 | MO | Primary |
Addresses
Primary practice location
156 Missouri Blvd
Suite B
Laurie, MO 65038
Mailing address
PO Box 1500
Osage Beach, MO 65065-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00060709 | Other | MO | RAILROAD MEDICARE |
| 201375227 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141216000615 | MO | Order and Referring Only - Internal Medicine | 3173692928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8000 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Internal Medicine | Past | Accepting new patients |
| Sjmgroup | Past | Accepting new patients | |
| Landmark Medical Center, Inc. | Past | Accepting new patients | |
| Lake Regional Health System | Past | Accepting new patients | |
| Bothwell Regional Health Center | Past | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Organizations & group practices 6
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.
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
-
dba Lake Regional Clinic - Laurie
- Rural Health Clinic/Center
- Laurie, MO
- NPI 1427162254
-
- Primary Care Clinic/Center
- Kansas City, MO
- NPI 1396833067
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1841299740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1500",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650651500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 MISSOURI BLVD",
"address_2": "SUITE B",
"city": "LAURIE",
"state": "MO",
"postal_code": "65038",
"telephone_number": "573-374-5263",
"fax_number": "573-374-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOK",
"first_name": "DAVID",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R8000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00060709",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201375227",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurie, MO
- Lake Family Vision Center Inc (Family Eyecare Associates)
- Lake Regional Health System (Lake Regional Clinic - Laurie)
- Laurie Care Center
- Laurie Family Eyecare, Inc. (Family Eyecare Associates)
- Laurie Knolls
- Jonathan Dale Privett, M.D.
- Ragain Chiropractic Clinic PC
- Richard Ragain, CHIROPRACTOR
- Angela Torres
- Westside Rehab, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.