Thomas Ray Cook
Thomas Ray Cook is a Physician Assistant in Blackfoot, Idaho. Qualified in 2021, 5 years ago. Practices with Mvh Bmc LLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 5
- Licensed in
- ID
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1444 Parkway DrBlackfoot, ID 83221
Phone: (208) 785-2600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 669 S 700 E Apt 18, St George, UT 84770-2407 — (801) 657-2232
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2180 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1477178432 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 15, 2020 |
| Last updated in NPPES | May 18, 2022 |
| Certification date | May 3, 2022 |
| Mailing address | 669 S 700 E Apt 18, St George, UT 84770-2407 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Mvh Bmc Llc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |
Other providers in Blackfoot
-
Liliana Garcia, BSN, RN
245 Poplar St, Blackfoot, ID 83221-4907 · (208) 643-0876