MR. GARY ALAN COOK (NPI# 1366653503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366653503 |
| Entity Type | Individual |
| Full Name | MR. GARY ALAN COOK |
| Credential | PA-C |
| Practice Address |
1025 Walnut St Ste 607 Philadelphia PA 19107-5001 |
| Mailing Address |
800 Spruce St 1 Pine West Philadelphia PA 19107 |
| Practice Telephone | 2159556996 |
| Mailing Telephone | 2158297407 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00394500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA052723 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Brace Rd Ste H, Cherry Hill, NJ 080342600 | 8565470389 |
| 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 |
| 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 |
| 1154325611 | Gary S Cook | Physician Assistant | 1207 N Virginia St, Port Lavaca, TX 77979-2506 | 2005-06-11 |
| 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 |
1025 WALNUT ST STE 607 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861919011 | Masashi Kawamura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 | 2017-08-28 |
| 1962609792 | Robin Albany | Nurse Practitioner | 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992963391 | Meredith Alley | Physician Assistant | 34th St & Civic Center Blvd 3rd Floor Wood Building, Childrens Hospital of Philadelphia Division of Urology, Philadelphia, PA 19104 | 2008-06-02 |
| 1477738524 | Jennifer L Spicer | Physician Assistant | 8834 Germantown Ave, Chestnut Hill Hospital, Philadelphia, PA 19118-4399 | 2008-01-08 |
| 1063516110 | Mitchell Charles Staska | Physician Assistant | Philadelpia Veterans Hospital, University and Woodland Avenue, Philadelphia, PA 19104 | 2006-09-11 |
| 1932755071 | Jessica Lauren Dell'aquila | Physician Assistant | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-08-14 |
| 1598224420 | Dana Beth Krimker | Physician Assistant | 10800 Knights Rd, Philadelphia, PA 19114 | 2019-03-19 |
| 1124582259 | Tiffany Si-ya Sun | Physician Assistant | 3400 Spruce St, 10 Silverstein, Philadelphia, PA 19104-4238 | 2019-01-23 |
| 1649744178 | Madison Ann Vitelli | Physician Assistant | 800 Spruce St, Philadelphia, PA 19107 | 2019-01-17 |
| 1861964439 | Mary Katherine Tonetti | Physician Assistant | 3400 Spruce St, 2 Dulles, Philadelphia, PA 19104-4238 | 2018-12-20 |
| 1770054702 | Laura Elizabeth Ayd | Physician Assistant | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114-1440 | 2018-12-17 |
| 1982171831 | Jonathan Crammond | Physician Assistant | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-10-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on MR. GARY ALAN 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.