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Deactivated NPI 1710981055 Deactivated / Inactive NPI Male Practitioner

Richard Joseph Cook , CRNA

Specialist • Mattoon, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Richard Cook has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2005
NPI Deactivation Date October 12, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Richard Cook, CRNA was a registered Specialist practicing in Mattoon, IL. Throughout an active medical career spanning 17 years, Richard Cook provided care at the practice location at SARAH BUSH LINCOLN HEALTH CENTER until profile deactivation on 2022-10-12.

Practice Location & Contact Primary Location

Practice Address

Sarah Bush Lincoln Health Center

Mattoon, IL 619380372

Telephone 1217258252

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Mattoon, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 041-149623

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 12, 2022

Record deactivated on October 12, 2022

NPI Profile Active April 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 25, 2011

Registered at SARAH BUSH LINCOLN HEALTH CENTER, MATTOON, IL 619380372 (Tel: 1217258252)

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Updated Business Mailing Address April 25, 2011

Registered at 3115 LOREN LN, CHARLESTON, IL 619204417 (Tel: 2173485312)

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Provider Name / Credentials Updated April 25, 2011

Recorded as RICHARD COOK, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2011

Specialist (License #041-149623 in IL)

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Initial NPI Registration & Enumeration June 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710981055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2005
Last Update: April 25, 2011
Deactivation Date: October 12, 2022

Mailing Address

3115 Loren Ln

Charleston, IL 619204417

Phone: 2173485312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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