Active NPI
Judith W Cook, MD
- Vascular Surgery Physician
- Belgrade, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 24776
- Practice address
- 511 Dunn Rd
Belgrade, ME 04917-4227 - Phone
- (207) 495-2249
- NPI assigned
- Jul 19, 2006
- Last updated
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3142534 | Medicaid | NH |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 13 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042686 | WA | MD | Surgery Physician |
| 01082357A | IN | MD | Vascular Surgery Physician |
| MD21478 | ME | MD | Vascular Surgery Physician |
| 24776 | NH | MD | Vascular Surgery Physician |
| MD433539 | PA | MD | Vascular Surgery Physician |
| 59233 | TN | MD | Vascular Surgery Physician |
| 0101281470 | VA | MD | Vascular Surgery Physician |
| 1078 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Surgery | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Marshfield Clinic Inc | Surgery | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Susquehanna Physician Services | Vascular Surgery | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | 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
- cook.judith.wdh@direct.partners.masshiway.net
- him@marshfieldclinichealthsystem.cernerdirect.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- jcook346630@ewd.direct.hshs.org
- jcook390690@direct-ehr-ssmhc.com
- jcook64426@upmc.direct-ci.com
- 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.
-
dba Susquehanna Health Medical Group
- Vascular Surgery Physician
- Williamsport, PA
- NPI 1962446971
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Surgery
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Medical Center
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
-
dba The Williamsport Hospital & Medical Center
- Land Ambulance
- Williamsport, PA
- NPI 1093890360
Hospital
-
dba Williamsport Regional Medical Center SPU- Divine Providence Campus
- Ambulatory Surgical Clinic/Center
- Williamsport, PA
- NPI 1225500770
Hospital
-
dba Williamsport Regional Medical Center
- General Acute Care Hospital
- Williamsport, PA
- NPI 1609801976
-
- Psychiatric Hospital Unit
- Williamsport, PA
- NPI 1649746488
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1740365097
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.