Benjamin Cooke, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OS17954 Issued in FL

Practice address

1040 Gulf Breeze Pkwy Ste 100
Gulf Breeze, FL 32561-7808

Phone

(850) 916-8700

NPI assigned

Mar 27, 2017

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

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Specialty

Anesthesiology

Education

University of North Texas HSC, College of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Valley Anesthesiology, PLLCGroup PAC ID 7113830993, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
• Uchealth Broomfield Hospital Hospital, Broomfield, CO, CCN 060129

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Boulder Valley Anesthesiology, PLLC

  • Anesthesiology Physician
  • Boulder, CO
  • NPI 1962431668
  Medicare reassignment Care Compare group NPD

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

• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985
  Care Compare affiliation
• Uchealth Broomfield Hospital

  • General Acute Care Hospital
  • Broomfield, CO
  • NPI 1528442357
  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1891226197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 100",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-916-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 100",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-916-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "BENJAMIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS17954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comforting Angel
• Complete Surgical LLC.
• Comprehensive Health Consultants of Northwest Florida PA
• Consulting Hidden Springs, LLC
• Jacqueline Jerrems Cook, DPT
• Coralcrestnutrition LLC
• Lori Cornwell, NP
• Misty Cortes-Thomas, OTR/L
• Nicole Cotlar
• Jenna Lynn Coughlin, RN,IBCLC

• Anesthesiology Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.