JORDAN C COOK (NPI# 1588041719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588041719 |
| Entity Type | Individual |
| Full Name | JORDAN C COOK |
| Practice Address |
40 Four Mile Dr Ste 7 Kalispell MT 59901-2655 |
| Mailing Address |
3700 S Main St Blacksburg VA 24060-7017 |
| Practice Telephone | 4063144788 |
| Practice Fax Number | 4068906708 |
| Mailing Telephone | 5409533528 |
| Mailing Fax Number | 5409535453 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 87784 | MT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932305 | Jordan Maria Cook | Social Worker | 3351 Wrightsboro Rd, Augusta, GA 30909-2800 | 2019-10-07 |
| 1144877531 | Jordan Spencer Cook | Specialist/Technologist | 9726 Touchton Rd Ste 104, Jacksonville, FL 32246-8305 | 2019-08-21 |
| 1306335856 | Jordan T Cook | Optometrist | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2018-05-09 |
| Street Address |
40 FOUR MILE DR STE 7 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366500464 | Sylvia A Owen | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2006-12-04 |
| 1295207363 | Peter Ashton Young | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-12-29 |
| 1558831289 | Highline Dermatology and Skin Cancer, PC | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-11-26 |
| 1407366545 | Glacier Dermatology PC | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235573114 | Ann Chang Brewer | Dermatology | 175 Commons Loop Ste 300, Kalispell, MT 59901-1904 | 2013-04-23 |
| 1366500464 | Sylvia A Owen | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2006-12-04 |
| 1669552659 | Andrew R Shors | Dermatology | 60 Four Mile Drive Ste 11, Kalispell, MT 59901-2663 | 2006-10-16 |
| 1295207363 | Peter Ashton Young | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-12-29 |
| 1205305984 | Montana Sky Dermatology PC | Dermatology | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2018-11-25 |
| 1407366545 | Glacier Dermatology PC | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2017-10-03 |
| 1336207430 | Thomas F George | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-12-04 |
| 1114093846 | Dermatology Associates Pllp | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-11-27 |
| 1316013147 | David K Murdock | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-11-24 |
| 1770659518 | Kathryn Kay Hansen | Dermatology | 175 Commons Loop, Ste 300, Kalispell, MT 59901 | 2006-11-24 |
| Find all providers in KALISPELL | ||||
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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.