Andrew G Cook (NPI# 1083956239, PAC ID# 3971851528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1083956239 |
| PAC ID by PECOS | 3971851528 |
| Professional Enrollment ID | I20180730003227 |
| Full Name | Andrew G Cook |
| Organization Legal Name | SW FLORIDA PAIN CENTER INC. |
| Address |
19621 Cochran Blvd Suite 1 Port Charlotte FL 33948-2070 |
| Phone Number | 9416279095 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 4486748522 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100070 | VENICE REGIONAL BAYFRONT HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 | 9416279095 | SW FLORIDA PAIN CENTER INC. |
| Organization Legal Name | SW FLORIDA PAIN CENTER INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Sussi | Nurse Practitioner | Sw Florida Pain Center Inc. | 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 |
| Louis K Valente | Interventional Pain Management | Sw Florida Pain Center Inc. | 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 |
| Robert Ball | Interventional Pain Management | Sw Florida Pain Center Inc. | 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 |
| Street Address |
19621 COCHRAN BLVD SUITE 1 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33948-2070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Sussi | Nurse Practitioner | Sw Florida Pain Center Inc. | 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 |
| Louis K Valente | Interventional Pain Management | Sw Florida Pain Center Inc. | 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 |
| Robert Ball | Interventional Pain Management | Sw Florida Pain Center Inc. | 19621 Cochran Blvd, Suite 1, Port Charlotte, FL 33948-2070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roxanne J Cropp | Certified Registered Nurse Anesthetist (crna) | Gulf Coast Anesthesia Associates Inc | 1400 Education Way, Port Charlotte, FL 33948-1000 |
| Jason Michael Mlnarik | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Steven Raymond Anthony | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Marat V Grigorov | Neurosurgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Amanda S. Pumilia | Nurse Practitioner | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Jennifer D'abarno | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Nicholas J Connors | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Robert P Stchur | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Ruben Guzman | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Eileen C De Grandis | Vascular Surgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Find all physicians in zip 33948 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | PORT CHARLOTTE + PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.