Charles W Cook Jr., MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Corsicana, TX
NPI 1861465601 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1861465601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- H9860 (TX)
- Practice address
- 400 Hospital Dr
Ste 210
Corsicana, TX 75110-2489 - Phone
- (903) 641-4835
- Fax
- (903) 641-4846
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at Houston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Employee Assistance Program Inc
Practice addresses (Care Compare)
108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632
3201 W Hwy 22
Suite 100
Corsicana, TX 75110-2450
Phone (903) 872-8300
400 Hospital Dr
Corsicana, TX 75110-2489
Hospital & facility affiliations
- Navarro Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050706001027 | TX | Practitioner - Obstetrics/Gynecology | 0143204396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Regional Employee Assistance Program Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Navarro Hospital LP | Past | Accepting new patients |
Locations
400 Hospital Dr
Ste 111
Corsicana, TX 75110
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
301 Hospital Dr
Corsicana, TX 75110
Phone (903) 641-4800
400 Hospital Dr
Ste 210
Corsicana, TX 75110
Phone (903) 641-4835
2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422
Interoperability endpoints
- charles.cook.1@1902.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H9860 | TX | Yes |
Addresses
Primary practice location
400 Hospital Dr
Ste 210
Corsicana, TX 75110-2489
Mailing address
400 Hospital Dr
Suite 111
Corsicana, TX 75110-2489
Phone (903) 641-4895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047015503 | Medicaid | TX | |
| 84076X | Other | TX | BLUE CROSS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charles.cook.1@1902.direct.athenahealth.com |
Other providers in Corsicana, TX
- Community Services, Inc.
- Comprehensive Hospitalist Services of Texas PLLC
- Comprehensive Hospitalist Services of Texas, PLLC
- Michelle Confer
- Confident Home Health Care Inc
- Delores Gwendolyn Cook
- Cornea Associates of Texas PA
- Corsicana Cancer Center
- Corsicana Childrens Dental Associates
- Corsicana Chiropractic, LLC
All providers in Corsicana, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.