Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cameron Dean Cook, DO

Individual provider Emergency Medicine Physician · NPI 1104484260

Cameron Dean Cook, DO is an Emergency Medicine in Boise, Idaho. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho, South Carolina and Virginia.

Years since qualifying
7
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
ID, SC, VA
In the registry since
2019
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2235
Fax: (208) 381-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 — (434) 200-3027

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2671976 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0102207012 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence LL82235 (SC)

Record details

NPI number1104484260
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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