Samuel Shawn Cooke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

530 South St Ste G10
Greensburg, PA 15601-2784

Phone

(724) 689-1335

Fax

(724) 689-1337

NPI assigned

Oct 17, 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scooke47095@direct.conemaugh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment Care Compare group
• Excela Health Physician Practices, Inc

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment
• Vantage Physical Therapy & Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Johnstown, PA
  • NPI 1487693313
  Care Compare group
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Physician Assistant

  NPD
• DLP Conemaugh Physician Practices LLC

  • Rural Health Clinic/Center
  • Hollsopple, PA
  • NPI 1356757710
  NPD
• Excela Health Physician Practices Inc

  • Anesthesiology Physician
  • Greensburg, PA
  • NPI 1538539820
  NPD
• Excela Health Physician Practices, Inc.

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Conemaugh Health Initiatives

  • Plastic Surgery Physician
  • Johnstown, PA
  • NPI 1073516720
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1992216048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE STE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-689-1822",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOUTH ST STE G10",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012784",
            "telephone_number": "724-689-1335",
            "fax_number": "724-689-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "SAMUEL",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continuum Counseling Services LLC
• Daniel S Contrafatto, M.D.
• Angela Christine Cook, M. ED
• Catherine Mullin Cook
• Veronica Farrah Cook, FNP-C, PMHNP-BC
• Danielle Marie Cooley, CRNA
• Julianna Cooper, MT-BC
• Lisa Copas, COTA/L
• Emily E Cope, PMHNP-BC
• Taylor Copp

• Physician Assistant in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.

Verify at the official NPI Registry.