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Deactivated NPI 1053318980 Deactivated / Inactive NPI Female Practitioner

Dr. Katherine Sue Cook , MD

Pediatrics • Rolla, MO

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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, Dr. Katherine Cook has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005
NPI Deactivation Date November 08, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Cook, MD was a registered Pediatrics practicing in Rolla, MO. Throughout an active medical career spanning 19 years, Dr. Cook provided care at the practice location at 700 W 11TH ST until profile deactivation on 2024-11-08.

Practice Location & Contact Primary Location

Practice Address

700 W 11th St

Rolla, MO 654012102

Telephone 5733641900
Fax 5733647365
Associated Practice Facility / Clinic
🏢 Rolla Children's Clinic, P.c. Facility NPI 1780852384

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Rolla, MO (1616 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO R4F55

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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 November 08, 2024

Record deactivated on November 08, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 700 W 11TH ST, ROLLA, MO 654012102 (Tel: 5733641900)

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Updated Business Mailing Address July 09, 2007

Registered at 700 W 11TH ST, ROLLA, MO 654012102 (Tel: 5733641900)

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Provider Name / Credentials Updated July 09, 2007

Recorded as KATHERINE COOK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #R4F55 in MO)

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Initial NPI Registration & Enumeration July 07, 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: 1053318980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: July 09, 2007
Deactivation Date: November 08, 2024

Mailing Address

700 W 11th St

Rolla, MO 654012102

Phone: 5733641900

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.