DR. BYRON THOMAS COOK III (NPI# 1063670644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063670644 |
| Entity Type | Individual |
| Full Name | DR. BYRON THOMAS COOK III |
| Credential | MD |
| Practice Address |
1505 Northside Blvd Suite 1200 Cumming GA 30041-7623 |
| Practice Telephone | 6788450466 |
| Practice Fax Number | 6788450471 |
| Mailing Telephone | 6788450466 |
| Mailing Fax Number | 6788450471 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2013-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 070070 | GA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | P2974 | TX | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | R2010 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669812475 | Byron Cook | Podiatrist | 1 Medical Center Blvd, Pob1 Ste 302, Chester, PA 19013-3902 | 2013-06-26 |
| Street Address |
1505 NORTHSIDE BLVD SUITE 1200 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903626 | Steven A Accarino | Internal Medicine | 1505 Northside Blvd, Ste 3000, Cumming, GA 30041 | 2005-06-27 |
| 1144777178 | Elham Kamarjian | Pharmacist | 1505 Northside Blvd, Suite 4300, Cumming, GA 30041-7623 | 2016-09-07 |
| 1942670187 | Susan Marie Almeida | Nurse Practitioner | 1505 Northside Blvd, Suite 4600, Cumming, GA 30041-7623 | 2015-09-30 |
| 1255754172 | Kathryn Turner | Registered Nurse | 1505 Northside Blvd, 2500, Cumming, GA 30041 | 2014-01-29 |
| 1215366489 | Peachtree Orthopaedic Clinic, PC | Durable Medical Equipment & Medical Supplies | 1505 Northside Blvd, Suite 3100, Cumming, GA 30041-7623 | 2013-11-07 |
| 1073864146 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1505 Northside Blvd, Suite 4300, Cumming, GA 30041-7623 | 2012-09-28 |
| 1689925745 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 1505 Northside Blvd, Suite 4600, Cumming, GA 30041-7623 | 2012-09-28 |
| 1225398928 | Brandi Nicole Johnson | Physician Assistant | 1505 Northside Blvd, Suuite 3000, Cumming, GA 30041-7623 | 2012-05-29 |
| 1124392949 | North Pointe Ob Gyn Associates 2 LLC | Obstetrics & Gynecology | 1505 Northside Blvd, Suite 3500, Cumming, GA 30041-7623 | 2012-02-24 |
| 1609160142 | Andrea Marie Sallusti | Physician Assistant | 1505 Northside Blvd, Suite 3000, Cumming, GA 30041-7623 | 2011-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871600353 | Matthew B. Kaufman | Ophthalmology | 210 Hudson St, Cumming, GA 30040-2432 | 2006-08-23 |
| 1932332459 | Milan Eye LLC | Ophthalmology | 970 Sanders Rd, Suite 100, Cumming, GA 30041-5979 | 2009-09-01 |
| 1275773764 | Jonathan Woolfson, Md PC | Ophthalmology | 1505 Northside Blvd, Suite 1200, Cumming, GA 30041-7623 | 2009-02-24 |
| 1467601153 | North Ophthalmology Referral Center, LLC | Ophthalmology | 1505 Northside Blvd, Suite 1200, Cumming, GA 30041-7623 | 2008-09-17 |
| 1740444322 | Vandana C Reddy | Ophthalmology | 970 Sanders Rd, Suite 100, Cumming, GA 30041-5979 | 2008-07-14 |
| 1508048802 | Niraj N. Desai | Ophthalmology | 970 Sanders Rd Ste 100, Cumming, GA 30041-5979 | 2007-11-29 |
| 1710184148 | Sri Krishna Mukkamala | Ophthalmology | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2007-06-29 |
| 1194920900 | North Ophthalmology Referral Center | Ophthalmology | 1505 Northside Blvd, Suite 1200, Cumming, GA 30041-7623 | 2007-06-20 |
| 1669585022 | Bhairavi Kharod Dholakia | Ophthalmology | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 | 2006-08-17 |
| 1396789079 | Milan Ramesh Patel | Ophthalmology | 970 Sanders Rd Ste 100, Cumming, GA 30041-5979 | 2006-06-15 |
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| 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.