Paula Jane Cook, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

7058868-1205 Issued in UT

Practice address

382 W Care Campus Dr
Moab, UT 84532-2331

Phone

(435) 719-3970

NPI assigned

May 31, 2007

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hms_implementation@yourcarecommunity.org
• Direct secure messaging: pcook449711@direct.med.utah.edu

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.

• Odyssey House Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033143706

  Addiction Psychiatry

  Medicare reassignment NPD
• University of Utah Acuity Care Services

  dba Anesthesiology Dept SICU

  • Critical Care Medicine (Anesthesiology) Physician
  • Salt Lake City, UT
  • NPI 1407250541
  Medicare reassignment NPD
• Utah Healthcare Institute Inc

  dba St. Mark's Family Medicine

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1376597344
  Medicare reassignment NPD
• Moab Valley Healthcare, Inc

  dba Moab Regional Hospital

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236
  Medicare reassignment
• St Mark's Professional Services, LLC

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1912925629
  Medicare reassignment
• Moab Valley Healthcare, Inc.

  dba Moab Regional Recovery Center

  • Methadone Clinic
  • Moab, UT
  • NPI 1285380394
  NPD
• Odyssey House Inc

  dba Odyssey House Martindale Clinic

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1407481245
  NPD
• University of Utah Acuity Care Services

  dba U of U Neuro Critical Care

  • Neurological Surgery Physician
  • Salt Lake City, UT
  • NPI 1316341456
  NPD
• University of Utah Acuity Care Services

  dba Neurostimulation Adult Services

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Salt Lake City, UT
  • NPI 1366804254
  NPD
• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  NPD (past)
• Granger Medical Clinic PC

  • Multi-Specialty Clinic/Center
  • West Valley City, UT
  • NPI 1184657041

  Family Medicine

  NPD (past)
• Moab Valley Healthcare Inc

  dba Moab Regional Health Center

  • Certified Registered Nurse Anesthetist
  • Moab, UT
  • NPI 1700857398
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1922209386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E CUTLER RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062471",
            "telephone_number": "801-671-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W CARE CAMPUS DR",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322331",
            "telephone_number": "435-719-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Komas Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081241",
            "country_code": "US",
            "telephone_number": "801-587-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "PAULA",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7058868-1205",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "7058868-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922209386",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcook@odysseyhouse.org",
            "affiliation": "N",
            "address_1": "1175 Cutler Road",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcook449711@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulac@mrhmoab.org",
            "affiliation": "N",
            "address_1": "382 W Care Campus Dr",
            "city": "Moab",
            "state": "UT",
            "country_code": "US",
            "postal_code": "845322331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laird Ian Clark, CRNA
• Jessica Cloward
• Dylan Cole, D.O.
• Daniel Cook I, PHARMD
• Koi Derrick Cook
• William Cooper, M.AC.O.M., L.AC.
• Colleen Cornelius, DDS
• Jeffery Cornelius, DMD
• Kaylie Corrigan
• Luke Allan Counterman, PA-C

• Addiction Medicine (Family Medicine) Physician in Moab, UT
• Providers in Moab, UT by specialty
• Addiction Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.