NPIMap

Individual provider Active NPI

Jay F. Cook, M.D.

  • Diagnostic Radiology Physician
  • Brush, CO
National Provider Identifier
1871576520
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29566 Issued in CO
Practice address
2400 Edison St
Brush, CO 80723-1640
Phone
(970) 842-6256
NPI assigned
Nov 28, 2005
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29566 CO Primary

Addresses

Primary practice location

2400 Edison St
Brush, CO 80723-1640

Mailing address

5530 E 6TH Avenue Pkwy
Denver, CO 80220-5244
Phone (303) 333-7552

Other identifiers 1

IdentifierTypeStateIssuer
53704541MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000330 CO Practitioner - Diagnostic Radiology 5890688477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Morgan County HospitalGroup PAC ID 3274443577, 16 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200

909 E Railroad Ave
Suite 101 Banner Health Clinic Fort Morgan
Fort Morgan, CO 80701-3301
Phone (970) 542-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29566COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Jun 1, 2012 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jun 1, 2012 Accepting new patients
East Morgan County Hospital CurrentSince Nov 1, 2009 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Feb 14, 2012 Accepting new patients
East Morgan County Hospital CurrentSince Nov 1, 2009 Accepting new patients
Northstar Imaging Inc Diagnostic Radiology Past Accepting new patients
Iview Diagnostics, Inc. Diagnostic Radiology PastSince Oct 7, 2003 Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

500 Main St
Fort Morgan, CO 80701
Phone (970) 542-0360

909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 10

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1871576520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 E 6TH AVENUE PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205244",
            "telephone_number": "303-333-7552",
            "fax_number": "303-388-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EDISON ST",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231640",
            "telephone_number": "970-842-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JAY",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "29566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53704541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush, CO

Sources for this page

Verify at the official NPI Registry.