DOUGLAS JAMES COOK (NPI# 1235495862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235495862 |
| Entity Type | Individual |
| Full Name | DOUGLAS JAMES COOK |
| Credential | D.O. |
| Practice Address |
3100 Channing Way Idaho Falls ID 83404-7533 |
| Practice Telephone | 2085297910 |
| Mailing Telephone | 2085297910 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | O-0855 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 34.011116 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417006560 | Douglas Wesley Cook | Surgery | 470 Greenfield Ave Ste 202, Hanford, CA 93230-3589 | 2007-01-09 |
| 1720162027 | Douglas Lee Cook | Dentist | 10971 Clinic Road, Suring, WI 54174-9741 | 2006-10-24 |
| 1659301059 | Douglas B Cook | Chiropractor | 1108 N. Washington, Weatherford, OK 73096 | 2006-07-03 |
| 1356697445 | Douglas James Cook | Neurological Surgery | 300 Pasteur Dr, R209, Stanford, CA 94305-2200 | 2012-07-26 |
| 1881949188 | Douglas G Cook | Nurse Practitioner | 2355 N Wyatt Dr, Suite 101, Tucson, AZ 85712-2120 | 2012-07-23 |
| 1073732541 | Douglas Wayne Cook | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2007-04-24 |
| 1932323698 | Douglas R Cook | Psychiatry & Neurology | 7165 Clearvista Parkway, Indianapolis, IN 46256-4621 | 2007-04-12 |
| 1740342336 | Douglas Paul Cook | Physical Therapist | 220 Main St, Summersville, WV 26651-1316 | 2006-12-14 |
| 1881673309 | Douglas E Cook | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2006-01-12 |
| 1417950775 | Douglas Todd Cook | Optometrist | 2114 W Noble Ave, Guthrie, OK 73044-2116 | 2005-05-31 |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1821697681 | Taylor Olivia Woodrow | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-10-22 |
| 1154944288 | Kristina Stickley | Dietitian, Registered | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-05-22 |
| 1487274932 | Bailey Elizabeth Kimbel | Registered Nurse | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-24 |
| 1952930109 | Chris Blaine | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1700415023 | Nicole Rosemin | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-07 |
| 1639708027 | Victor Liu | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404 | 2020-04-07 |
| 1194354613 | Matthew James Baechle | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-06 |
| 1639707961 | Dale Carlson Keller | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215165469 | Jerry B Smedley | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404 | 2009-06-26 |
| 1346429552 | Justin John Thompson | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2007-10-24 |
| 1235355702 | Matthew R Griggs | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2007-04-17 |
| 1578543989 | Robert Wagner | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-01-20 |
| 1619956364 | Jeffrey Keller | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-01-11 |
| 1932186939 | Scott G Cross | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-12-30 |
| 1720065782 | David Andrew Garrity | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-12-29 |
| 1326025396 | Joseph M Anderson | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-12-29 |
| 1124005467 | Intermountain Emergency Physicians | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-12-28 |
| 1780661215 | Jeffrey B Stieglitz | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-1647 | 2005-12-27 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.