Individual provider Active NPI

Judith W Cook, MD

  • Vascular Surgery Physician
  • Belgrade, ME
National Provider Identifier
1891714606
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
24776 Issued in NH
Practice address
511 Dunn Rd
Belgrade, ME 04917-4227
Phone
(207) 495-2249
NPI assigned
Jul 19, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00042686 WA
Vascular Surgery Physician 2086S0129X 0101281470 VA
Vascular Surgery Physician 2086S0129X MD433539 PA
Vascular Surgery Physician 2086S0129X 1078 WI
Vascular Surgery Physician 2086S0129X 59233 TN
Vascular Surgery Physician 2086S0129X MD21478 ME
Vascular Surgery Physician 2086S0129X 01082357A IN
Vascular Surgery Physician 2086S0129X 24776 NH Primary

Addresses

Primary practice location

511 Dunn Rd
Belgrade, ME 04917-4227

Mailing address

511 Dunn Rd
Belgrade, ME 04917-4227

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6685

Other identifiers 1

IdentifierTypeStateIssuer
3142534MedicaidNH

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jcook390690@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com
Direct Messaging Address jcook346630@ewd.direct.hshs.org Direct Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME, TN, WI, NH, VA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20080708000447 PA Practitioner - Vascular Surgery 4981639770 Reassigns benefits to 1 organization
I20170223001335 ME Practitioner - Vascular Surgery 4981639770 Reassigns benefits to 1 organization
I20190805002820 TN Practitioner - Vascular Surgery 4981639770 Reassigns benefits to 1 organization
I20210219001916 WI Practitioner - Vascular Surgery 4981639770 Reassigns benefits to 12 organizations
I20231006002305 NH Practitioner - Vascular Surgery 4981639770 Reassigns benefits to 1 organization
I20240502000006 VA Practitioner - Vascular Surgery 4981639770

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

10 Members Way
301 WHP Vascular Surgery
Dover, NH 03820-5933
Phone (603) 609-6685

740 High St
Suite 3001
Williamsport, PA 17701-3111
Phone (570) 321-2805

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042686WAMDSurgery Physician
01082357AINMDVascular Surgery Physician
MD21478MEMDVascular Surgery Physician
24776NHMDVascular Surgery Physician
MD433539PAMDVascular Surgery Physician
59233TNMDVascular Surgery Physician
0101281470VAMDVascular Surgery Physician
1078WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Feb 10, 2021 Accepting new patients
West Tennessee Medical Group Inc CurrentSince Feb 16, 2024 Accepting new patients
Susquehanna Physician Services CurrentSince Aug 1, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 18, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 18, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jan 1, 2024 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jan 1, 2024 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Surgery CurrentSince Jan 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 18, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 18, 2023 Accepting new patients
Dean Health Systems, Inc. CurrentSince Feb 10, 2021 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jan 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 6, 2017 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 18, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 6, 2017 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 18, 2023 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Jan 18, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Susquehanna Physician Services Vascular Surgery CurrentSince Aug 1, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 18, 2023 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients
Upmc Williamsport Past Accepting new patients

Locations (25 of 30)

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

149 North St
Waterville, ME 04901
Phone (207) 622-1959

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

800 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-6545

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 3001
Williamsport, PA 17701
Phone (570) 321-2805

1718 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 285-5121

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

700 W Forest Ave
Ste 4
Jackson, TN 38301

103A Jane St
Paris, TN 38242

405 Tyson Ave
Paris, TN 38242
Phone (731) 394-3499

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

700 S Park St
Ste A
Madison, WI 53715
Phone (608) 260-2900

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: cook.judith.wdh@direct.partners.masshiway.net
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jcook346630@ewd.direct.hshs.org
  • Direct secure messaging: jcook390690@direct-ehr-ssmhc.com
  • Direct secure messaging: jcook64426@upmc.direct-ci.com
  • Direct secure messaging: judith.w.cook@upmcdirect.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1891714606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 DUNN RD",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 DUNN RD",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174227",
            "telephone_number": "207-495-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-609-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JUDITH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00042686",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101281470",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD433539",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "1078",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "59233",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD21478",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01082357A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "24776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142534",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcook390690@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jcook390690@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St Ste A",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St Ste A",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcook346630@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belgrade, ME

Sources for this page

Verify at the official NPI Registry.