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

Tanner Cook, PA-C

Individual provider Physician Assistant · NPI 1629545579

Tanner Cook, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Prisma Community Care, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3540 E Baseline Rd Ste 130
Phoenix, AZ 85042-9629
Phone: (623) 251-7559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7572 (AZ)

Record details

NPI number1629545579
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 30, 2018
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing address3815 E Bell Rd Ste 2200, Phoenix, AZ 85032-2139

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prisma Community Care — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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