W BRYCE COOK DPM INC (NPI# 1689871857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689871857 |
Entity Type | Organization |
Organization Name | W BRYCE COOK DPM INC |
Other Organization Name | FOOT CLINIC OF LOGAN |
Practice Address |
550 E 1400 N Ste B Logan UT 84341-2450 |
Practice Telephone | 4357529011 |
Practice Fax Number | 4357527159 |
Mailing Telephone | 4357529011 |
Mailing Fax Number | 4357527159 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2008-03-28 |
Authorized Official Name | W BRYCE COOK (OWNER) |
Authorized Official Telephone | 4357529011 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1032580501 | UT | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
FOOT CLINIC OF LOGAN | Doing Business As Name - Organization |
Street Address |
550 E 1400 N STE B |
City | LOGAN |
State | UT |
Zip Code | 84341-2450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558504548 | Gregory Bryce Cook | Podiatrist | 550 E 1400 N Ste B, Logan, UT 84341-2450 | 2009-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
Find all providers in zip 84341 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982915575 | Jamie Leann Hall-jasper | Podiatrist | 100 Main Ave, Logan, WV 25601-3323 | 2010-06-29 |
1659552958 | Steve Scott Melek | Podiatrist | 17 Main Ave, Professional Building, Logan, WV 25601-3332 | 2007-11-15 |
1609317635 | Daniel J Huff Podiatry Dpm PC | Podiatrist | 1219 N 400 E, Logan, UT 84341-2321 | 2017-03-09 |
1437535267 | Daniel Wright | Podiatrist | 20 Hospital Dr, Logan, WV 25601-3452 | 2015-08-04 |
1548540313 | Cook Foot and Ankle Specialists LLC | Podiatrist | 550 E 1400 N, #b, Logan, UT 84341-2406 | 2011-08-24 |
1578894937 | David D Bell | Podiatrist | 1219 N 400 E, Logan, UT 84341-2321 | 2010-01-26 |
1558504548 | Gregory Bryce Cook | Podiatrist | 550 E 1400 N Ste B, Logan, UT 84341-2450 | 2009-04-07 |
1356505259 | Ryan Bruce Rigby | Podiatrist | 1300 N 500 E Ste 130, Logan Regional Orthopedics, Logan, UT 84341-2466 | 2008-07-10 |
1124045877 | Travis L Sautter | Podiatrist | 550 E 1400 N, Logan, UT 84341-2406 | 2006-07-17 |
1346207487 | Jeffrey E Shook | Podiatrist | 20 Hospital Dr, Logan, WV 25601-3452 | 2006-05-01 |
Find all providers in LOGAN |
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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.