DR. JOSEPH LEE DECOOK (NPI# 1548564164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548564164 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH LEE DECOOK |
| Credential | MD |
| Practice Address |
2238 Tony Ave Fennville MI 49408-9463 |
| Practice Telephone | 6166445313 |
| Mailing Telephone | 6166445313 |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301024771 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2238 TONY AVE |
| City | FENNVILLE |
| State | MI |
| Zip Code | 49408-9463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123487 | Eva Emma Schroeder | Community Health Worker | 6676 122nd Ave, Fennville, MI 49408 | 2014-12-23 |
| 1720314586 | Gloria Jean Braswell | Adult Companion | 223 Harbor Lake Drive, Fennville, MI 49408 | 2009-10-28 |
| 1174608962 | Shellie R Alexander | Pharmacist | 211 E Main St M-89, Fennville, MI 49408 | 2006-10-27 |
| 1407941693 | Daniel Mark Alexander | Pharmacist | 211 E Main Street, Fennville, MI 49408 | 2006-10-04 |
| 1578658027 | Phillip Louis Badra | Obstetrics & Gynecology | 2230 Lakeshore Drive, Fennville, MI 49408 | 2006-10-03 |
| 1487664330 | Lakeshore Pharmacies, Inc | Pharmacy | 211 East Main Street, Fennville, MI 49408 | 2006-08-09 |
| 1518022532 | Dennis Anthony Icabone | Dentist | 202 E First Street, Fennville, MI 49408-0269 | 2006-12-27 |
| 1104896315 | Thomas Harold Cassell | Dentist | 200 N Maple St, Fennville, MI 49408-0506 | 2006-01-23 |
| 1174705933 | Kenneth Earl Kratzer | Family Medicine | 200 North Maple Street, Fennville, MI 49408-0664 | 2007-12-03 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| Find all providers in zip 49408 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532330 | Rula Al-aouar Plc | Obstetrics & Gynecology | 2380 W Warren Street, Dearborn Heights, MI 48127-2276 | 2020-09-14 |
| 1306497466 | Iha Health Services Corporation | Obstetrics & Gynecology | 1065 N Huron River Dr Ste 400, Ypsilanti, MI 48197-3296 | 2019-09-20 |
| 1770021354 | Southfield Obsterical and Gynecologic Institute P.C. | Obstetrics & Gynecology | 29275 Northwestern Hwy Ste 207, Southfield, MI 48034-5744 | 2017-02-03 |
| 1013335504 | Evelyn Hall | Obstetrics & Gynecology | 504 Catherine St, Ann Arbor, MI 48104-1433 | 2014-04-01 |
| 1740616804 | Mohammad Amin Ariani | Obstetrics & Gynecology | 65 Belle Meade St, Grosse Pointe Shores, MI 48236-1552 | 2013-09-20 |
| 1992005821 | Diana L. Cohen, D.o., P.C. | Obstetrics & Gynecology | 1240 S Lapeer Rd, Suite 101b, Lake Orion, MI 48360-1470 | 2010-10-26 |
| 1386961498 | Zeenat Anwar | Obstetrics & Gynecology | 3820 Gratiot Ave, Port Huron, MI 48060-1536 | 2010-04-28 |
| 1063658755 | Joseph Kroon | Obstetrics & Gynecology | 656 Wellington Cres, Mount Clemens, MI 48043-2949 | 2008-12-30 |
| 1386805158 | Francis Darling | Obstetrics & Gynecology | 9062 Lake Dominion Dr, Brighton, MI 48114-9104 | 2008-06-24 |
| 1093982241 | Judith Brysk Md Pllc | Obstetrics & Gynecology | 25865 W. 12 Mile Rd., Suite A101, Southfield, MI 48034 | 2008-05-15 |
| 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.