Individual provider Active NPI

Raymond Scott Cook, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Reading, PA
National Provider Identifier
1922006220
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS012368 Issued in PA
Practice address
11 Fairlane Rd
Reading, PA 19606-9567
Phone
(610) 779-2663
Fax
(610) 779-3367
NPI assigned
Jul 11, 2005
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OS012368 PA Primary

Addresses

Primary practice location

11 Fairlane Rd
Reading, PA 19606-9567

Mailing address

11 Fairlane Rd
Reading, PA 19606-9567
Phone (610) 779-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20050706000206 PA Practitioner - Sports Medicine 4981640505 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC CurrentSince Mar 10, 2010 Accepting new patients
Keystone Orthopaedic Specialists LLC Sports Medicine CurrentSince Mar 10, 2010 Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

4920 Penn Ave
Sinking Spring, PA 19608
Phone (610) 898-0674

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

Interoperability endpoints

  • Direct secure messaging: rcook184449@direct-lghealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1922006220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS012368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.