Cook Medical Associates, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

22193 Issued in WI

Legal business name

COOK MEDICAL ASSOCIATES, LTD

Practice address

6308 8TH Ave Ste 301
Kenosha, WI 53143-5031

Phone

(262) 656-8265

NPI assigned

Nov 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rose M Techert

Title

Billing

Phone

(262) 656-8265

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1023262060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE STE 301",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE STE 301",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK MEDICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "TECHERT",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "262-656-8265"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "22193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1427185255",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis M Connolly, DDS MS
• Jennifer R Connolly, RDH
• Morgan Connolly
• Jennifer Conrardy, PSYD
• Cook Medical Assoc LTD
• Christopher Andrew Cook, D.O.
• Heather Cooper
• Jennifer Anne Corbett-Willing, M.ED , LPC
• Tristan Nastassia Corbitt, RN
• Lauren Cornejo, OTR-L

• Specialist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.