Bruce Wayne Cook (NPI# 1356347116, PAC ID# 8325013196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1356347116 |
| PAC ID by PECOS | 8325013196 |
| Professional Enrollment ID | I20040826000849 |
| Full Name | Bruce Wayne Cook |
| Organization Legal Name | SOUTHWEST MEDICAL CENTER |
| Address |
315 W 15th St Southwest Medical Center Anesthesia Liberal KS 67901-2455 |
| Phone Number | 6206296682 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1977 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7517941651 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170068 | SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 315 W 15th St, Southwest Medical Center Anesthesia, Liberal, KS 67901-2455 | 6206296682 | SOUTHWEST MEDICAL CENTER |
| Organization Legal Name | SOUTHWEST MEDICAL CENTER |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Furnish | Certified Nurse Midwife (cnm) | Southwest Medical Center | 623 Ave C, Beaver, OK 73932-3126 |
| Jose A Maeda | General Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Jacqueline Anne Woodrum | Family Medicine | Southwest Medical Center | 555 W 15th St, Liberal, KS 67901-2467 |
| Victoria Rachel Underwood | Nurse Practitioner | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Firas I. Kawtharani | Orthopedic Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Linsey K Carter | Nurse Practitioner | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Roman Pohorecki | Anesthesiology | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Nchang Mantoh Azefor | General Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Imudia Dekonte Ehanire | General Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| John C Peeden | Certified Registered Nurse Anesthetist (crna) | Southwest Medical Center | 315 W 15th St, Southwest Medical Center Anesthesia, Liberal, KS 67901-2455 |
| Street Address |
315 W 15TH ST SOUTHWEST MEDICAL CENTER ANESTHESIA |
| City | LIBERAL |
| State | KS |
| Zip | 67901-2455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Williams | Diagnostic Radiology | 315 W 15th St, Liberal, KS 67901-2455 | |
| Lori E Failes | Emergency Medicine | Rural Kansas Emergency Physicians LLC | 315 W 15th St, Liberal, KS 67901-2455 |
| Akshath Bantwal Kamath | Internal Medicine | Cancer Center of Kansas.p.a. | 315 W 15th St, Liberal, KS 67901-2455 |
| John C Peeden | Certified Registered Nurse Anesthetist (crna) | Southwest Medical Center | 315 W 15th St, Southwest Medical Center Anesthesia, Liberal, KS 67901-2455 |
| Rama Krishna Reddy Chanda | Hospitalist | Cancer Center of Kansas.p.a. | 315 W 15th St, Liberal, KS 67901-2455 |
| Robert W King | Emergency Medicine | Rural Kansas Emergency Physicians LLC | 315 W 15th St, Liberal, KS 67901-2455 |
| Jack L Morgan Jr. | Internal Medicine | Rural Kansas Emergency Physicians LLC | 315 W 15th St, Liberal, KS 67901-2455 |
| Edwin T. Mcgroarty | Family Medicine | Rural Kansas Emergency Physicians LLC | 315 W 15th St, Liberal, KS 67901-2455 |
| Assodallah Zainali | Diagnostic Radiology | 315 W 15th St, Liberal, KS 67901-2455 | |
| Bonnie D Porter | Certified Registered Nurse Anesthetist (crna) | Southwest Medical Center | 315 W 15th St, Southwest Medical Center Anesthesia, Liberal, KS 67901-2455 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhail A Ansari | Orthopedic Surgery | 2138 N Kansas Ave, Liberal, KS 67901-2012 | |
| Steven Douglas Graham | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Rhiannon Radcliff | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Elizabeth Ann Fieser | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| James S Jury | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Ryan R Farrar | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Molly Rachow | Physical Therapy | 111 Lilac Dr, Liberal, KS 67901-2058 | |
| Brandi L Boller | Family Medicine | 11 W Pkwy Blvd, Liberal, KS 67901-2081 | |
| Michael J Fulton | Optometry | 250 E Tucker Rd, Suite B, Liberal, KS 67901-2188 | |
| Varinder S Gill | Internal Medicine | 111 E Tucker Rd, Suite F, Liberal, KS 67901-2191 | |
| Find all physicians in zip 67901 | |||
| City | LIBERAL |
| Zip Code | 67901 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LIBERAL + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Bruce Wayne Cook.
| 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.