Thomas Cooke (NPI# 1255427902, PAC ID# 3375607609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255427902 |
| PAC ID by PECOS | 3375607609 |
| Professional Enrollment ID | I20090130000336 |
| Full Name | Thomas Cooke |
| Organization Legal Name | MARYS CORNER MEDICAL CLINIC INC PS |
| Address |
4254 Jackson Hwy Chehalis WA 98532-8424 |
| Phone Number | 3602623966 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012085228 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4254 Jackson Hwy, Chehalis, WA 98532-8424 | 3602623966 | MARYS CORNER MEDICAL CLINIC INC PS |
| Organization Legal Name | MARYS CORNER MEDICAL CLINIC INC PS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther L Williams | Nurse Practitioner | Marys Corner Medical Clinic Inc Ps | 4254 Jackson Hwy, Chehalis, WA 98532-8424 |
| Nicholas W Bozarth | Physician Assistant | Marys Corner Medical Clinic Inc Ps | 4254 Jackson Hwy, Chehalis, WA 98532-8424 |
| Robert D Mcelhaney Jr. | Family Medicine | Marys Corner Medical Clinic Inc Ps | 4254 Jackson Hwy, Chehalis, WA 98532-8424 |
| Street Address |
4254 JACKSON HWY |
| City | CHEHALIS |
| State | WA |
| Zip | 98532-8424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther L Williams | Nurse Practitioner | Marys Corner Medical Clinic Inc Ps | 4254 Jackson Hwy, Chehalis, WA 98532-8424 |
| Nicholas W Bozarth | Physician Assistant | Marys Corner Medical Clinic Inc Ps | 4254 Jackson Hwy, Chehalis, WA 98532-8424 |
| Robert D Mcelhaney Jr. | Family Medicine | Marys Corner Medical Clinic Inc Ps | 4254 Jackson Hwy, Chehalis, WA 98532-8424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Wayne Dupree | Optometry | 1601 Nw Louisiana Ave, Chehalis, WA 98532-1700 | |
| Jay V Gallinger | Optometry | 66 Nw Boistfort St, Chehalis, WA 98532-2003 | |
| Jibok Lee | Chiropractic | Summit Chiropractic Center, Pllc | 2530 Ne Kresky Ave, Suite A, Chehalis, WA 98532-2406 |
| Aaron D Wilson | Chiropractic | Summit Chiropractic Center, Pllc | 2530 Ne Kresky Ave, Suite A, Chehalis, WA 98532-2406 |
| Lisa M Archer | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| David W Cooper | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| David M Nixon | Clinical Social Worker | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Christiaan Fs Collier | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Sundy R Holland | Internal Medicine | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Elisabeth A Hansen | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Find all physicians in zip 98532 | |||
| City | CHEHALIS |
| Zip Code | 98532 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHEHALIS + FAMILY MEDICINE |
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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.