Active NPI
Ethan Aaron Cook, MD
- Family Medicine Physician
- Battle Ground, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 61690580
- Practice address
- 2005 W Main St
Battle Ground, WA 98604-4311 - Phone
- (360) 882-2778
- NPI assigned
- Mar 21, 2022
- Last updated
- Aug 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61690580 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buena Vista Regional Medical Center | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Buena Vista Regional Medical Center | Current | Accepting new patients | |
| Buena Vista Regional Medical Center | Current | 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
- 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.
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
Family Medicine
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
-
- Diagnostic Radiology Physician
- Storm Lake, IA
- NPI 1780755728
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
dba Bvrmc Pharmacy
- Community/Retail Pharmacy
- Storm Lake, IA
- NPI 1821154220
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.