KEELEY COOK (NPI# 1750940789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750940789 |
| Entity Type | Individual |
| Full Name | KEELEY COOK |
| Credential | PA-C |
| Practice Address |
12502 Willowbrook Rd Ste 420 Cumberland MD 21502-6567 |
| Mailing Address |
Po Box 1671 Cumberland MD 21501-1671 |
| Practice Telephone | 2409648944 |
| Practice Fax Number | 2409648741 |
| Mailing Telephone | 2409648342 |
| Mailing Fax Number | 2409648337 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C07350 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12502 WILLOWBROOK RD STE 420 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356789200 | Pratikkumar J. Patel | Internal Medicine | 12502 Willowbrook Rd Ste 420, Cumberland, MD 21502-6567 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407392954 | Megan Bosson | Physician Assistant | 6066 Cubbison Rd, Cumberland, OH 43732-9323 | 2017-01-09 |
| 1982691192 | Robert Francis Solarczyk | Physician Assistant | 940 Seton Dr, Cumberland, MD 21502-1818 | 2005-10-03 |
| 1215536008 | Jade Hensinger | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-10-22 |
| 1376161877 | Brian J Przybylowski | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2020-07-10 |
| 1528688454 | Isaac Quinn Ducharme | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-04-21 |
| 1619502275 | Nicholas Pedersen | Physician Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-03-04 |
| 1609419126 | Carly Haffeman | Physician Assistant | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2019-10-28 |
| 1821650136 | Jordan Benjamin Raheb | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2019-07-08 |
| 1477118149 | Samantha Jo Marino | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2019-05-07 |
| 1801351978 | Anne P Nguyen | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2019-02-04 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.