DR. KELLY JO COOKE (NPI# 1528276417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528276417 |
| Entity Type | Individual |
| Full Name | DR. KELLY JO COOKE |
| Other Name | KELLY JO DENIS |
| Credential | DO |
| Practice Address |
721 American Ave Ste 508 Prohealth Care Medical Associates Inc. Waukesha WI 53188-5071 |
| Practice Telephone | 2629284898 |
| Mailing Telephone | 2629284898 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
BP20022320 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
61139 | WI | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
036105206 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758899 | Kelly Cooke | Social Worker | 85 S May Ave, Athens, OH 45701-2016 | 2018-04-23 |
| 1831742204 | Kelly Dawn Cooke | Physical Therapist | 227 N Market St, Paxton, IL 60957-1123 | 2019-07-24 |
| Street Address |
721 AMERICAN AVE STE 508 PROHEALTH CARE MEDICAL ASSOCIATES INC. |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666344 | Wolfgang Riedl | Nurse Practitioner | 721 American Ave Ste 508, Waukesha, WI 53188-5071 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451117 | Peaceful Hospcie Care Agency LLC | Internal Medicine | 8021 W Tower Ave, Milwaukee, WI 53223-3215 | 2020-09-09 |
| 1104364033 | Allay Palliative Care Inc | Internal Medicine | 325 N Corporate Dr, Suite 260, Brookfield, WI 53045-5801 | 2017-02-11 |
| 1518490333 | Anna Stecher | Internal Medicine | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-3011 | 2017-04-07 |
| 1417338369 | Najmus S Liang | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2015-06-17 |
| 1568850600 | Ascension Medical Group-northern Wisconsin, Inc | Internal Medicine | 2251 North Shore Dr, Rhinelander, WI 54501 | 2014-12-23 |
| 1992114086 | Pooja Maulik Bhatt | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215 | 2014-08-04 |
| 1386064681 | Kimberly Elaine Kopecky | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2014-04-24 |
| 1326386129 | Agrace Palliative Care LLC | Internal Medicine | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2013-01-29 |
| 1205152543 | Karrie Lynn Lu | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Suite 403, Milwaukee, WI 53215-3677 | 2010-04-12 |
| 1326220823 | Hospice and Palliative Care Consultants | Internal Medicine | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
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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.