WELDON JOHN COOKE


Address: 10176 W 400 N, Suite C, Michigan City, IN 46360
Phone: 2198731777

WELDON JOHN COOKE (NPI# 1912945262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912945262
Entity Type Individual
Full Name WELDON JOHN COOKE
Credential MD. FACS
Practice Address 10176 W 400 N
Suite C
Michigan City
IN 46360
Mailing Address 3965 N. Malaga Dr.
Laporte
IN 46350
Practice Telephone 2198731777
Practice Fax Number 2198730001
Mailing Telephone 2198731777
Mailing Fax Number 2198730001
Enumeration Date 2006-06-02
Last Update Date 2014-12-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01020627A IN Allopathic & Osteopathic Physicians
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
01020627B IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100351820B 05
IN ANTHEM BC/BS 000000308932 01
IN HARMONY 247628 01

Office Location

Street Address 10176 W 400 N
SUITE C
City MICHIGAN CITY
State IN
Zip Code 46360

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528466091 Weldon Cooke Md LLC Clinic/Center 10176 W 400 N, Suite C, Michigan City, IN 46360-9008 2014-12-15
1437556941 Illinois Center for Pain Control LLC Anesthesiology 10176 W 400 N, Suite B, Michigan City, IN 46360-9008 2014-11-26
1104269166 Stephanie M Andree Nurse Practitioner 10176 W 400 N, Michigan City, IN 46360-9008 2013-04-09
1467742965 Rapid Response Internal Medicine 10176 W 400 N, Suite D, Michigan City, IN 46360-9009 2011-04-18
1487970802 Soria Neurology and Sleep Care LLC Psychiatry & Neurology 10176 W 400 N, Michigan City, IN 46360-9008 2010-04-09
1134309412 La Porte Regional Physician Netwrok Internal Medicine 10176 W 400 N, Suite C, Michigan City, IN 46360-9008 2007-11-05
1992926307 Syed Mohammed Quadri Anesthesiology 10176 W 400 N, Suite B, Michigan City, IN 46360-9009 2007-05-01
1417087065 Medical Health Services, Inc Internal Medicine 10176 W 400 N, Suite B, Michigan City, IN 46360-9008 2007-03-06
1053492926 Chest Clinic, PC Internal Medicine 10176 W 400 N, Suite B, Michigan City, IN 46360-9008 2006-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821649096 Trinity Healthcare Inc. Occupational Therapist 4300 Cleveland Ave, Michigan City, IN 46360 2019-09-27
1861905499 Erika Leigh Maroon Chiropractor 8690 West Pahs Rd., Michigan City, IN 46360 2017-11-06
1750740650 Michelle Asbell Nurse Practitioner 301 Homer St, Michigan City, IN 46360 2016-02-19
1235523952 Marnee Flinn-smith Specialist/Technologist 8466 Pahs Rd, Michigan City, IN 46360 2015-03-19
1184976359 Kelly Stewart Physical Therapist 301 Homer Street, Michigan City, IN 46360 2012-10-11
1053660936 Planned Parenthood of Indiana Michigan City Clinic/Center 324 Dunes Plaza, Michigan City, IN 46360 2012-09-06
1114288644 June R. R. Nichols Ocularist, Ltd Durable Medical Equipment & Medical Supplies 450 St. John Road, Suite 396, Michigan City, IN 46360 2012-05-31
1083980858 Enoch Kassa Internal Medicine 3777 N Frontage Rd, Michigan City, IN 46360 2012-03-27
1760768196 American Limb & Orthopedic Company of Valparaiso Prosthetic/Orthotic Supplier 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 2011-10-31
1801181144 Elizabeth A Whitaker Counselor 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 2011-06-15
Find all providers in zip 46360

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447636840 Kumari S. Singh Family Medicine 1225 E Coolspring Ave # 2b, Michigan City, IN 46360-6312 2015-08-07
1912233875 Weldon Cooke Md LLC Family Medicine 10176 W. 400 North, Suite C, Michigan City, IN 46360 2009-10-28
1255510244 Contri Medical Corporation PC Family Medicine 217 West Homer Street, Michigan City, IN 46360 2007-10-26
1750450813 Victor Contri Family Medicine 217 W Homer St, Michigan City, IN 46360 2006-11-06
1932290343 Maria Brown Family Medicine 1225 E Coolspring Ave Ste 2d, Michigan City, IN 46360 2006-09-28
1700824570 Jennifer England Family Medicine 1225 E Coolspring Ave Ste 2-b, Michigan City, IN 46360-6312 2006-06-03
1790753218 Carol Joan Grobner Family Medicine 1225 E Coolspring Ave Ste 2a, Michigan City, IN 46360-6312 2006-03-09
1750362901 Debra A Zack Family Medicine 710 Franklin St Ste 200, Michigan City, IN 46360-3564 2005-11-07
1952396772 Cheryl Krueger Family Medicine 4111 Franklin St, Michigan City, IN 46360-7803 2005-09-19
1508864497 Stacey Colleen Leva Family Medicine 1225 E Coolspring Ave, Michigan City, IN 46360-6312 2005-07-13
Find all providers in MICHIGAN CITY

Competitor

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City MICHIGAN CITY
Zip Code 46360

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Dataset Information

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.

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