Jeffrey S Cook (NPI# 1700378403, PAC ID# 0143571620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700378403 |
| PAC ID by PECOS | 0143571620 |
| Professional Enrollment ID | I20180921002120 |
| Full Name | Jeffrey S Cook |
| Organization Legal Name | SOUTHEAST CARDIOLOGY CLINIC INC. |
| Address |
3700 Williams Dr Marianna FL 32446-7973 |
| Phone Number | 8504829488 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234111899 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010049 | MEDICAL CENTER ENTERPRISE |
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 760 Columbia Rd, Suite A, Blakely, GA 39823-9796 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 409 N Main St, Suite A, Enterprise, AL 36360-2564 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 3700 Williams Dr, Marianna, FL 32446-7973 | 8504829488 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 4257 Lafayette St, Marianna, FL 32446-8235 | 8504829488 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| Organization Legal Name | SOUTHEAST CARDIOLOGY CLINIC INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Harrell | Nurse Practitioner | Southeast Cardiology Clinic Inc. | 1340 Hwy 231 S 2, Troy, AL 36081-3012 |
| Thomas Edwin Young | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Andreas Muench | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1330 Hwy 231 S, Troy, AL 36081-3058 |
| Christopher David Centafont | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Kelli Anderson | Nurse Practitioner | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Nelson Smith Gwinn Iii | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1330 Hwy 231 S, Troy, AL 36081-3058 |
| Street Address |
3700 WILLIAMS DR |
| City | MARIANNA |
| State | FL |
| Zip | 32446-7973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory A Lambe | Chiropractic | 3894 Hwy 90, Marianna, FL 32446 | |
| Larry N. Silverman | Radiation Oncology | 21st Century Oncology, LLC | 3031 Carters Mill Rd, Marianna, FL 32446-1902 |
| David B Hurst | Radiation Oncology | 21st Century Oncology, LLC | 3031 Carters Mill Rd, Marianna, FL 32446-1902 |
| Steven H Stokes | Radiation Oncology | 21st Century Oncology, LLC | 3031 Carters Mill Rd, Marianna, FL 32446-1902 |
| Richard G Brunner | General Surgery | Er Physician Group At Jackson Hospital | 4250 Hospital Dr, Marianna, FL 32446-1917 |
| James Durward Tyler | Nurse Practitioner | Er Physician Group At Jackson Hospital | 4250 Hospital Dr, Marianna, FL 32446-1917 |
| Julie R Smith | Nurse Practitioner | Er Physician Group At Jackson Hospital | 4250 Hospital Dr, Marianna, FL 32446-1917 |
| Jirayos Chintanadilok | Pulmonary Disease | Er Physician Group At Jackson Hospital | 4250 Hospital Dr, Marianna, FL 32446-1917 |
| Jacquelyn Marie Bard | Nurse Practitioner | Er Physician Group At Jackson Hospital | 4250 Hospital Dr, Marianna, FL 32446-1917 |
| Glenn L Clark | Diagnostic Radiology | Marianna Imaging, LLC | 4250 Hospital Dr, Marianna, FL 32446-1917 |
| Find all physicians in zip 32446 | |||
| City | MARIANNA |
| Zip Code | 32446 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARIANNA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.