RANDOLPH B COOKE (NPI# 1588658926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588658926 |
| Entity Type | Individual |
| Full Name | RANDOLPH B COOKE |
| Credential | MD |
| Practice Address |
596 5th Ave Owego NY 13827-1629 |
| Mailing Address |
346 Grand Ave Johnson City NY 13790-2580 |
| Practice Telephone | 6076877141 |
| Practice Fax Number | 6076872224 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-11-21 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 116682 | NY | Other Service Providers |
| Y | 207Q00000X | Family Medicine | 116682 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475899 | Randolph D Cooke | Psychologist | 300 Hospital Rd, Family Medicine Clinic, Ft. Gordon, GA 30905 | 2005-11-23 |
| Street Address |
596 5TH AVE |
| City | OWEGO |
| State | NY |
| Zip Code | 13827-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841318763 | Randolph B. Cooke Md | Exclusive Provider Organization | 596 5th Ave, Owego, NY 13827-1629 | 2007-03-27 |
| 1609862861 | Mary Benz | Nurse Practitioner | 596 5th Ave, Owego, NY 13827-1629 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390451 | Michele Smith Morey | Licensed Practical Nurse | 4476 Rt38, Owego, NY 13827 | 2018-09-21 |
| 1811487259 | Kaitlin Osborne | Specialist/Technologist | 1 Sheldon Guile Blvd, Owego, NY 13827 | 2018-05-11 |
| 1306388244 | Susan Medina | Dental Hygienist | 1062 State Rt 38, Suite 120, Owego, NY 13827 | 2016-11-09 |
| 1063775476 | Kimberly Anne Derouchie | Early Intervention Provider Agency | 1062 Rt. 38, Owego, NY 13827 | 2012-06-20 |
| 1992020713 | Christy Bianconi | Social Worker | 819 S. Salina St., Syracuse, NY 13827 | 2010-04-05 |
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1689827875 | Jennifer Iglthaler | Occupational Therapist | 1695 Glen Allen Road, Owego, NY 13827 | 2008-10-31 |
| 1104079698 | Mary N. Gilfoyle | Speech-Language Pathologist | 1 Christa Mcauliffe Drive, Owego, NY 13827 | 2008-10-28 |
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1043357957 | Anthony Owens | Counselor | 8 Lincolnshire Blvd, Owego, NY 13827 | 2007-01-31 |
| Find all providers in zip 13827 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013197557 | United Medical Associates, P.C. | Family Medicine | 502 5th Ave, Owego, NY 13827-1635 | 2007-11-13 |
| 1629042585 | Mark Jeffrey Corey | Family Medicine | 128 North Ave, Owego, NY 13827-1304 | 2006-02-15 |
| 1124098785 | Keith Andrew Nichols | Family Medicine | 130 Temple St, Suite 100, Owego, NY 13827-1421 | 2006-01-25 |
| 1770578940 | David E Kwiatkowski | Family Medicine | 42 W Main St, Owego, NY 13827-1578 | 2005-09-14 |
| 1598077679 | Sumanth Balguri | Family Medicine | 42 W Main St, Owego, NY 13827 | 2010-07-06 |
| 1346421211 | Keith A Nichols Md, Pllc | Family Medicine | 130 Temple St, Suite 100, Owego, NY 13827-1408 | 2007-11-20 |
| 1861564742 | Lisa Newman | Family Medicine | 500 5th Ave, Owego, NY 13827-1620 | 2006-11-15 |
| 1710058524 | Ian Stuppel | Family Medicine | 500 5th Ave, Owego, NY 13827-1620 | 2006-11-13 |
| 1568569200 | Brian Beach | Family Medicine | 500 5th Ave, Owego, NY 13827-1620 | 2006-09-17 |
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|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.