STEPHEN LARRY COOK (NPI# 1932512746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932512746 |
| Entity Type | Individual |
| Full Name | STEPHEN LARRY COOK |
| Credential | M.D. |
| Practice Address |
60 Mdg/sgop 101 Bodin Circle Travis Afb CA 94535 |
| Mailing Address |
5342 Dudley Blvd Mcclellan CA 95652-1012 |
| Practice Telephone | 9165617793 |
| Practice Fax Number | 9165617566 |
| Mailing Telephone | 7074233000 |
| Mailing Fax Number | 9165617566 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28929 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5342 Dudley Blvd, Mcclellan, CA 956521012 | 8013583305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239539 | Stephen Cook | Specialist/Technologist | 422 Route 6a, Apt. 2, East Sandwich, MA 02537 | 2016-12-15 |
| 1093959371 | Stephen Lewis Cook | Pathology | 300 Pasteur Dr # H2110, Stanford, CA 94305 | 2009-04-30 |
| 1598803777 | Stephen A Cook | Dentist | 2114 Scott St, Lafayette, IN 47904-2932 | 2007-02-01 |
| 1093869695 | Stephen Cook | Psychologist | 18th & Boston, #111a, Lubbock, TX 79409-2051 | 2007-01-22 |
| 1821194580 | Stephen Blaine Cook | Psychologist | 190 Overthrust, Evanston, WY 82930 | 2006-09-16 |
| 1699799544 | Stephen C Cook | Psychiatry & Neurology | 2341 Mershon Dr, Ann Arbor, MI 48103-6048 | 2006-07-26 |
| 1427078542 | Stephen G Cook | Family Medicine | 1102 S I St, Tacoma, WA 98405-4559 | 2006-07-20 |
| 1801894878 | Stephen L Cook | Internal Medicine | 1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324 | 2005-07-13 |
| 1639175342 | Stephen Christopher Cook | Pediatrics | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2005-06-27 |
| 1831654268 | Stephen Cook | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-02-11 |
| Street Address |
60 MDG/SGOP 101 BODIN CIRCLE |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649622374 | Cortnee Lingerfelt | Physician Assistant | 60 Mdg/sgop, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2016-07-06 |
| 1063894574 | Bridget Caulkins | Family Medicine | 60 Mdg/sgop, 101 Bodin Cir, Travis Afb, CA 94535 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699113019 | Lauren Mitchell | Family Medicine | 60 Mdg/ Sgof, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2013-06-07 |
| 1235428889 | Lee Thomas Church | Family Medicine | 60mdg/sgof, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2011-04-05 |
| 1356412050 | David V Eastham | Family Medicine | 101 Bodin Circle, Sgqx, Dept of Radiation Oncology, Travis Afb, CA 94535 | 2006-11-13 |
| 1780796938 | An Thuy Duong | Family Medicine | 777 Bodin Circle, 2c 383, Travis Afb, CA 95687 | 2006-08-31 |
| 1912354721 | Kelliann Leli | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-05-22 |
| 1326495441 | Jacob David Townsend | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-05-18 |
| 1477900504 | Micah Bucy | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-05-18 |
| 1356723191 | Glynnis Knobloch | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535 | 2015-06-28 |
| 1790167203 | Robert J Caulkins | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535 | 2015-06-19 |
| 1063894574 | Bridget Caulkins | Family Medicine | 60 Mdg/sgop, 101 Bodin Cir, Travis Afb, CA 94535 | 2015-06-19 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
Please comment or provide details below to improve the information on STEPHEN LARRY COOK.
| 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.