Cook Medical Assoc LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

22193 Issued in WI

Legal business name

COOK MEDICAL ASSOC LTD

Practice address

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

Phone

(262) 656-8263

Fax

(262) 656-8273

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert George Cook, MD

Title

President

Phone

(262) 656-8263

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427185255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "address_2": "SUITE 301",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-8263",
            "fax_number": "262-656-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "address_2": "SUITE 301",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-8263",
            "fax_number": "262-656-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK MEDICAL ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-656-8263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "22193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Connell, D.D.S.
• Dennis M Connolly, DDS MS
• Jennifer R Connolly, RDH
• Morgan Connolly
• Jennifer Conrardy, PSYD
• Cook Medical Associates, LTD
• Christopher Andrew Cook, D.O.
• Heather Cooper
• Jennifer Anne Corbett-Willing, M.ED , LPC
• Tristan Nastassia Corbitt, RN

• 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 Aug 22, 2020; 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.