DR. MITCHELL ANDREW COOK (NPI# 1285920835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285920835 |
Entity Type | Individual |
Full Name | DR. MITCHELL ANDREW COOK |
Credential | D.P.M. |
Practice Address |
117 E Clark St Harrisburg IL 62946-2702 |
Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
Practice Telephone | 6182528625 |
Practice Fax Number | 6182522540 |
Mailing Telephone | 6184575200 |
Mailing Fax Number | 6185290586 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2019-11-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 016.005526 | IL | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.005526 | IL | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3307 Logan Dr, Herrin, IL 629483732 | 6189930900 | 6189939994 |
Street Address |
117 E CLARK ST |
City | HARRISBURG |
State | IL |
Zip Code | 62946-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265419261 | Harrisburg Family Practice Ltd | Family Medicine | 117 E Clark St, Harrisburg, IL 62946-2702 | 2005-12-30 |
1033737259 | Joseph Baxter | Physical Therapist | 117 E Clark St, Harrisburg, IL 62946-2702 | 2020-07-14 |
1104327824 | Katherine Emily Jones | Social Worker | 117 E Clark St, Harrisburg, IL 62946-2702 | 2018-02-27 |
1447767603 | Anne Melinda Clayton | Social Worker | 117 E Clark St, Harrisburg, IL 62946 | 2018-01-09 |
1891209912 | Amanda Jo Brown | Nurse Practitioner | 117 E Clark St, Harrisburg, IL 62946-2702 | 2017-11-28 |
1760831218 | Jason West | Family Medicine | 117 E Clark St, Harrisburg, IL 62946 | 2016-06-06 |
1750705364 | Southern Illinois Medical Services, Nfp | Clinic/Center | 117 E Clark St, Harrisburg, IL 62946-2702 | 2014-02-18 |
1104109024 | Dianna Questelle | Massage Therapist | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-09-27 |
1386931590 | Megan Hoffman | Nurse Practitioner | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-07-08 |
1063708550 | Brent M Jones | Family Medicine | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-06-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
Find all providers in zip 62946 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
1881180719 | Jordan Scott Bean | Podiatrist | Brady Hall 905, 205 South Front St, Harrisburg, PA 17104 | 2018-07-03 |
1477906428 | Riley Pett | Podiatrist | 111 S Front St # 1, Harrisburg, PA 17101-2010 | 2016-07-14 |
1740642289 | Bradley William Lind | Podiatrist | 3800 Hwy 49 South, Harrisburg, NC 28075 | 2016-03-23 |
1205822046 | Allan B. Grossman | Podiatrist | 4033 Linglestown Rd, Harrisburg, PA 17112-1153 | 2005-09-27 |
1023635646 | Sushila Lynn Kabadi | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-30 |
1831716695 | Amanda Marie Agrela Pires | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-28 |
1427544535 | Michael Read | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2018-07-02 |
Find all providers in HARRISBURG |
City | HARRISBURG |
Zip Code | 62946 |
Please comment or provide details below to improve the information on DR. MITCHELL ANDREW COOK.
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.