Andy Cooc, DO

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

OP61277471 Issued in WA

Practice address

1959 NE Pacific St # Nw011
Seattle, WA 98195-4135

Phone

(206) 598-5130

NPI assigned

Mar 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1982145215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST # NW011",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957115",
            "telephone_number": "206-598-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST # NW011",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981954135",
            "telephone_number": "206-598-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOC",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "OP61277471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XDJ90088335A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack S Conway, M.D.
• Rachel Lauren Conway
• Jeffrey Alan Conwell, M.D.
• Kyle Conyers, LMP
• Linda Carol Conyers, MDIV., BCC-DAA
• Kelly Ariane Cook Ginn, MSW, AAC
• Alex J Cook, PSYD
• Alexandria Cook, ARNP
• Anubha Cook, PHARMD, RPH
• Bethany Cook

• Neuroradiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Neuroradiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.