Pamela L Cook

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAMELA L COOK

Practice address

805 E Main St
Russellville, AR 72801-5249

Phone

(479) 890-5933

Fax

(479) 890-9373

NPI assigned

Jun 23, 2005

Reactivated

Dec 21, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela L CookNPI 1073700712

Title

Cped

Phone

(479) 890-5933

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela L Cook

  • Prosthetic/Orthotic Supplier
  • Russellville, AR
  • NPI 1073700712
  Authorized official Same address or phone

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1962408948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015249",
            "telephone_number": "479-890-5933",
            "fax_number": "479-890-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015249",
            "telephone_number": "479-890-5933",
            "fax_number": "479-890-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA L COOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-12-26",
        "deactivation_date": "2007-10-04",
        "reactivation_date": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CPED",
        "authorized_official_telephone_number": "479-890-5933"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146651716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gollsheed Ouranos, MD
• Loren Kayci Overton
• Owen L Kelly MD PA
• Palmer Audiology, PLLC
• Charles Palmer, AU.D.
• Pams Shoes & Pedorthics
• Dean W Papageorge, MD
• Andrew Ryan Papasan
• Michaela Papasan, BCBA
• Sarah Paquette

• Durable Medical Equipment & Medical Supplies in Russellville, AR
• Providers in Russellville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.