DR. CHARLES R COOK (NPI# 1134189202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134189202 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R COOK |
| Credential | D. C. |
| Practice Address |
108 Creek Ln S Jordan MN 55352-1202 |
| Practice Telephone | 9524926363 |
| Practice Fax Number | 9524925129 |
| Mailing Telephone | 9524926363 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
3717 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 460717100 | 05 | |
| MN | BCBS PERSONAL ID | 73D30CO | 01 |
| MN | 35719800 | 05 | |
| MN | BCBS OFFICE ID | 73D29CH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427304021 | Charles Edward Cook | Dentist | 5230 Griggs Rd # Rs, Houston, TX 77021-3760 | 2012-08-01 |
| 1154364008 | Charles Robert Cook | Family Medicine | 1701 Forest Ridge Dr, Bedford, TX 76022-7959 | 2006-06-14 |
| 1275508574 | Charles Milton Cook | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-21 |
| 1861465601 | Charles W Cook Jr. | Obstetrics & Gynecology | 400 Hospital Dr, Ste 210, Corsicana, TX 75110-2489 | 2006-02-10 |
| 1407288459 | Charles Cook | Nurse Practitioner | 1903 Addison Ave, Wilkesboro, NC 28697-2262 | 2013-08-01 |
| 1508120775 | Charles Cook | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2012-07-02 |
| 1023203379 | Charles Jack Cook Jr. | Counselor | 15095 Amargosa Rd, Suite 101, Victorville, CA 92394-1879 | 2007-09-10 |
| 1770635898 | Charles T. Cook | Marriage & Family Therapist | 6711 Arlington Ave, Suite B, Riverside, CA 92504-1955 | 2007-01-17 |
| 1417967928 | Charles Everett Cook | Orthopaedic Surgery | 8440 Walnut Hill Ln, #110, Dallas, TX 75231-3833 | 2006-08-08 |
| 1588616148 | Charles H. Cook | Surgery | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-05-16 |
| Street Address |
108 CREEK LN S |
| City | JORDAN |
| State | MN |
| Zip Code | 55352-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255861985 | Michael Thomas Douglass-white | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2017-06-15 |
| 1154689834 | Lydia Schmidt | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508221425 | Patrick Hardy | Physical Therapy Assistant | 206 9th St, Jordan, MN 55352-1006 | 2015-12-18 |
| 1427113307 | Margaret M Knutson | Specialist/Technologist | 608 Hooper Ct, Jordan, MN 55352-1070 | 2006-12-22 |
| 1114266673 | Jenny Flynn | Physical Therapy Assistant | 610 Lodge Dr, Jordan, MN 55352-1098 | 2013-02-04 |
| 1245573286 | First Choice Pharmacy of Jordan PC | Pharmacy | 255 Creek Ln S, Jordan, MN 55352-1214 | 2013-03-28 |
| 1972857597 | St Francis Regional Medical Center | Clinic/Center | 265 Creek Ln S, Jordan, MN 55352-1214 | 2012-11-05 |
| 1043764764 | Amanda Ungs | Counselor | 105 2nd St W, Jordan, MN 55352-1409 | 2016-08-10 |
| 1417001702 | Chiropractic Specialists, Inc. | Chiropractor | 212 2nd St E, Suite 100, Jordan, MN 55352-1449 | 2007-01-23 |
| 1033529664 | Mary Bauer | Psychoanalyst | 110 1st St E Ste 102, Jordan, MN 55352-1502 | 2014-05-05 |
| 1073821716 | Molly Jean Kellor | Social Worker | 201 1st St E, Jordan, MN 55352-1503 | 2010-09-15 |
| 1013196476 | Jeff C May | Chiropractor | 221 1st St E, Jordan, MN 55352-1503 | 2007-11-01 |
| Find all providers in zip 55352 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902293202 | Twin Cities Spine & Sports, LLC | Chiropractor | 4510 W 77th St, Suite 222, Edina, MN 55435-5505 | 2015-04-24 |
| 1831587930 | Ibackcheck Chiropractic | Chiropractor | 3650 Plymouth Blvd, Suite 100, Plymouth, MN 55446-3201 | 2014-12-26 |
| 1790181915 | Advanced Wellness & Sports Rehab Pa | Chiropractor | 11132 Commerce Ln N, Champlin, MN 55316-3112 | 2014-11-16 |
| 1063857621 | Minnesota Spine & Sports Rehab | Chiropractor | 29 S Walnut St Ste 200, La Crescent, MN 55947-1605 | 2013-05-08 |
| 1508128232 | New Creation Sports and Wellness, LLC | Chiropractor | 7500 Hudson Blvd N Ste 180, Oakdale, MN 55128-7064 | 2012-06-08 |
| 1659659159 | Bradley Owen Olson | Chiropractor | 1312 Delaware St Nw, Hutchinson, MN 55350-3301 | 2011-08-01 |
| 1265738421 | Don Lee Jewell | Chiropractor | 11222 86th Ave N, Maple Grove, MN 55369-4510 | 2011-02-07 |
| 1790089654 | Kaitlin Renee Battaglia | Chiropractor | 5250 W 74th St Ste 8, Edina, MN 55439-2229 | 2011-01-06 |
| 1881902591 | Dr. Kim Leis-keeling, LLC | Chiropractor | 2121 Cliff Dr Ste 101, Eagan, MN 55122-3407 | 2010-09-15 |
| 1740430651 | Sarah Mae Peters | Chiropractor | 6982 Alpine Trl, Eden Prairie, MN 55346-3739 | 2008-09-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES R COOK.
| 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.