Individual provider Active NPI

Ethan Aaron Cook, MD

  • Family Medicine Physician
  • Battle Ground, WA
National Provider Identifier
1437808086
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61690580 Issued in WA
Practice address
2005 W Main St
Battle Ground, WA 98604-4311
Phone
(360) 882-2778
NPI assigned
Mar 21, 2022
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61690580 WA Primary

Addresses

Primary practice location

2005 W Main St
Battle Ground, WA 98604-4311

Mailing address

315 N 34TH St Apt 405
Omaha, NE 68131-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241216002201 IA Practitioner - Family Practice 0143601385 Reassigns benefits to 2 organizations
I20250806003886 WA Practitioner - Family Practice 0143601385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61690580WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Regional Medical Center Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Aug 12, 2025 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Aug 12, 2025 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Nov 8, 2024 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Nov 8, 2024 Accepting new patients
The Vancouver Clinic Inc PS Family Medicine Current Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

2005 W Main St
Battle Ground, WA 98604
Phone (360) 604-1600

2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: ecook27047@tvc-direct.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1437808086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 34TH ST APT 405",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044311",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ETHAN",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61690580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

Verify at the official NPI Registry.