Thomas Ray Cook

Physician Assistant · Blackfoot, ID

Individual Active NPI

NPI number 1477178432

Practice location

1444 Parkway Drive
Blackfoot, ID 83221
Phone
(208) 785-2600

Open in Google Maps

NPI record

NPI
1477178432
Entity type
Individual (Type 1)
Enumeration date
June 15, 2020
Last updated
May 18, 2022
Certified
May 3, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA-2180 ID
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

669 S 700 E Apt 18
St George, UT 84770-2407
Phone
(801) 657-2232

Other practice locations (1)

  • 669 S 700 E Apt 18, St George, UT 84770-2407 · (801) 657-2232

About Thomas Cook

Thomas Ray Cook is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1444 Parkway Drive, Blackfoot, ID 83221. The NPI number 1477178432 was assigned on June 15, 2020 and the record was last updated on May 18, 2022.

Thomas Cook lists a license in the registry: #PA-2180 (ID) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Ray Cook?

The NPI number is 1477178432.

What is the phone number of Thomas Cook?

The phone number listed for the practice location is (208) 785-2600.

Where is Thomas Cook located?

1444 Parkway Drive, Blackfoot, ID 83221.

What is the taxonomy code for Thomas Cook?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Blackfoot

All Physician Assistant providers in Blackfoot, ID →