DARCY C COOKE PA-C NPI 1790870970

NPI Information

NPI: 1790870970
Provider Name: DARCY C COOKE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SOUTHWEST MEDICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
4701 MONTGOMERY BLVD NE
LOVELACE MEDICAL GROUP BREAST CARE CENTER
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 727-6900
Get Directions

Darcy C Cooke, PA-C is a surgical physician assistant in Albuquerque, NM with 21 years of experience. Darcy C Cooke, PA-C NPI is 1790870970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4701 MONTGOMERY BLVD NE
LOVELACE MEDICAL GROUP BREAST CARE CENTER
ALBUQUERQUE, NM
ZIP 87109-219
Phone: (505) 727-6900
Fax: (505) 727-6913

The NPI 1790870970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA2003-0015	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2535033	MEDICAID	NEW MEXICO
2	NM301734	MEDICARE UPIN	NEW MEXICO
3	348325503	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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