MR. GARY S COOK (NPI# 1154325611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154325611 |
| Entity Type | Individual |
| Full Name | MR. GARY S COOK |
| Credential | P.A. |
| Practice Address |
1207 N Virginia St Port Lavaca TX 77979-2506 |
| Practice Telephone | 3617461588 |
| Practice Fax Number | 3614001588 |
| Mailing Telephone | 3617461588 |
| Mailing Fax Number | 3614001588 |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2014-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0086 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 453897 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464559 | Gary Louis Cook II | Contractor | 7533 Sewells Point Rd # K322, Norfolk, VA 23513-1757 | 2020-03-31 |
| 1669710380 | Gary Eugene Cook | Dentist | 12745 Woodcourt Ln, Minnetonka, MN 55343-8677 | 2013-01-31 |
| 1598058687 | Gary D Cook | Pharmacist | 2531 Beacon Hill Dr, West Linn, OR 97068-3689 | 2011-05-23 |
| 1366653503 | Gary Alan Cook | Physician Assistant | 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 | 2007-05-26 |
| 1346286630 | Gary R Cook | Ophthalmology | 403 N 11th St, Suite 439, Richmond, VA 23298-5046 | 2006-06-22 |
| 1386696672 | Gary Alvin Cook | Dentist | 2017 Eastcastle Se, Suite A, Grand Rapids, MI 49508 | 2006-05-16 |
| 1821558255 | Gary Cook | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-21 |
| 1144667056 | Gary Neil Cook | Marriage & Family Therapist | 901 N Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-2162 | 2013-05-31 |
| 1669723417 | Gary Vance Cook | Pharmacist | 101 E Atkins St, Kerr Drug #304, Dobson, NC 27017-8700 | 2012-09-19 |
| 1598049595 | Gary Walter Cook | Pharmacist | 4025 W Northern Pkwy, Baltimore, MD 21215-4412 | 2011-10-10 |
| Street Address |
1207 N VIRGINIA ST |
| City | PORT LAVACA |
| State | TX |
| Zip Code | 77979-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285044057 | New Vitality Clinic | Clinic/Center | 1207 N Virginia St, Port Lavaca, TX 77979-2506 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1679943393 | Vrinda Mohunta | Dentist | 204 Tx-35, Port Lavaca, TX 77979 | 2015-10-07 |
| 1770999344 | Smile Experts Pllc | Dentist | 204 State Hwy 35 South, Port Lavaca, TX 77979 | 2014-07-03 |
| 1083927636 | Calhoun Home Health, LLC | Home Health | 1300 N Virginia St Ste 111, Port Lavaca, TX 77979 | 2010-07-23 |
| 1740423490 | Diana E. Garcia | Case Manager/Care Coordinator | 3272 U.S. Hwy 87, Port Lavaca, TX 77979 | 2009-04-10 |
| 1982844940 | Gillian V. Kwi | Dentist | 1112 Half League Rd, Port Lavaca, TX 77979 | 2009-03-03 |
| 1003054057 | Ngale Ndiva Mongoh | Pharmacist | 325 S. Hwy. 35 By Pass, Port Lavaca, TX 77979 | 2009-01-29 |
| 1326248592 | Nichole Lynn Bruno | Nurse Practitioner | 1300 N. Virginia Street, Port Lavaca, TX 77979 | 2007-07-24 |
| 1518168855 | Calhoun County Senior Citizens Assoc. Inc. | Home Delivered Meals | 2104 W Austin St., Port Lavaca, TX 77979 | 2007-05-31 |
| Find all providers in zip 77979 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT LAVACA |
| Zip Code | 77979 |
Please comment or provide details below to improve the information on MR. GARY S 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.