Weldon Cooke MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01020627B Issued in IN

Legal business name

WELDON COOKE MD LLC

Practice address

10176 W. 400 North
Suite C
Michigan City, IN 46360

Phone

(219) 873-1777

Fax

(219) 873-0001

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Weldon John Cooke, MD FACS

Title

Owner- MD

Phone

(219) 871-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1912233875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 N. MALAGA DR",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-873-1777",
            "fax_number": "219-873-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 W. 400 NORTH",
            "address_2": "SUITE C",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-873-1777",
            "fax_number": "219-873-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDON COOKE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "WELDON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER- MD",
        "authorized_official_telephone_number": "219-871-2500",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01020627B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Weber, RPA
• Douglas W Weber, DDS
• James D Weber, D.D.S.
• Wendy Sue Wectawski, LSW
• Weldon Cooke MD LLC
• Weninger Medical Corp
• Donald L Weninger, M.D.
• Michael W Westfall, DO
• Steven Dale Whaley, M.D.
• Wheelchair Shop, Inc

• Family Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.