STACIE WARD COOK


Address: 836 Prudential Drive, Suite 1103, Jacksonville, FL 32207-8338
Phone: 9043989499

STACIE WARD COOK (NPI# 1871862409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871862409
Entity Type Individual
Full Name STACIE WARD COOK
Other Name STACIE M. WARD
Credential M.D.
Practice Address 836 Prudential Drive
Suite 1103
Jacksonville
FL 32207-8338
Mailing Address Po Box 16568
Jacksonville
FL 32245-6568
Practice Telephone 9043989499
Practice Fax Number 9043980118
Mailing Telephone 9044722300
Mailing Fax Number 9044722330
Enumeration Date 2011-12-28
Last Update Date 2012-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME111536 FL Allopathic & Osteopathic Physicians

Other Providers STACIE COOK

NPI Name Taxonomy Address Enumeration
1992855431 Stacie Chisolm Cook Social Worker 560 Mckoy St, Decatur, GA 30030-4950 2007-01-10
1972053999 Stacie Lorraine Cook Student in an Organized Health Care Education/Training Program 33 Turnpike Rd, Southborough, MA 01772 2016-10-13
1053672584 Stacie L Cook Emergency Medicine 1602 Skipwith Rd, Department of Emergency Medicine, Richmond, VA 23229-5205 2012-05-31

Office Location

Street Address 836 PRUDENTIAL DRIVE
SUITE 1103
City JACKSONVILLE
State FL
Zip Code 32207-8338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316910110 Abby Starstrom Nurse Practitioner 836 Prudential Drive, Suite 1700, Jacksonville, FL 32207-8344 2006-02-10
1205397940 North Florida Reproductive Medicine, LLC Obstetrics & Gynecology 836 Prudential Drive, Suite 902, Jacksonville, FL 32207 2019-03-26
1437495868 Florida Physician Specialists LLC Urology 836 Prudential Drive, Suite 1606, Jacksonville, FL 32207-8343 2012-12-12
1114214301 Paul Parmanand Maraj Internal Medicine 836 Prudential Drive, Suite 804 Pavilion Bldg, Jacksonville, FL 32207 2011-07-07
1194046888 Andreea Poenariu Internal Medicine 836 Prudential Drive, Suite 804 Pavilion Bldg., Jacksonville, FL 32207 2010-06-16
1497075352 Gregory Ray Schott Physician Assistant 836 Prudential Drive, Ste 1601, Jacksonville, FL 32007 2010-06-02
1881834562 Winifred Eileen Tate Nurse Practitioner 836 Prudential Drive, Suite 1001, Jacksonville, FLORIDA 32207 2009-02-20
1679734172 Sara Dianne Mohr Nurse Practitioner 836 Prudential Drive, Suite 1800, Jacksonville, FL 32207 2008-06-18
1710076971 Eugene William Gnida Internal Medicine 836 Prudential Drive, Suite 1400, Jacksonville, FL 32207 2006-10-12
1396854386 Teresa L Macgregor Nurse Practitioner 836 Prudential Drive, Ufjax - Department of Neurosurgery (pediatric), Jacksonville, FL 32207 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396108528 Michelle Melanson Obstetrics & Gynecology 14546 Old Saint Augustine Rd Ste 305-311, Jacksonville, FL 32258-5468 2016-04-04
1316387947 Alexander David Raw Obstetrics & Gynecology 1600 W Walnut St Bldg 3, Jacksonville, IL 62650-1136 2013-06-27
1912260613 Paulami Guha Obstetrics & Gynecology 836 Prudential Dr Ste 1600, Jacksonville, FL 32207 2012-06-19
1689963696 Dawn M Mormak Obstetrics & Gynecology 836 Prudential Dr Ste 1506, Jacksonville, FL 32207-8342 2011-03-30
1710210745 Niamh A Condon Obstetrics & Gynecology 653-1 W 8th St # L-17, Jacksonville, FL 32209-6511 2009-09-09
1356531396 Coastal Ob Gyn and Infertility Obstetrics & Gynecology 114a Memorial Dr, Jacksonville, NC 28546-6328 2007-07-26
1871614057 Aida A. Malonzo Obstetrics & Gynecology 1512 Palm Ave, Jacksonville, FL 32207-2916 2007-04-03
1487717864 Geoffrey Gillen Obstetrics & Gynecology 653 W 8th St # L17, Jacksonville, FL 32209-6511 2006-12-18
1306916580 Jason R Thompson Obstetrics & Gynecology 6885 Belfort Oaks Place Ste 210, Jacksonville, FL 32216 2006-11-08
1154400554 Charles Burk Obstetrics & Gynecology 203 Nacogdoches St Ste 210, Jacksonville, TX 75766-2455 2006-11-04
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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