Jason Ellis Cook in Orange - Pediatric Critical Care Medicine
Jason Ellis Cook - NPI 1689775140
Jason Ellis Cook is a Pediatric Critical Care Medicine in Orange, California. Jason Ellis Cook practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jason Ellis Cook is 1689775140. The last update date is 2019-02-04.
Jason Ellis Cook's current location address is 1201 W La Veta Ave, Orange, California. You can contact this provider via phone number 7145098620 and fax number 7145094072. The mailing address for Jason Ellis Cook is 1201 W La Veta Ave, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Ellis Cook |
|---|---|
| Address | 1201 W La Veta Ave, Orange, California |
| Phone Number | 7145098620 |
| Fax Number | 7145094072 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689775140 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2019-02-04 |
Provider Mailing Address Detail
| Address | 1201 W La Veta Ave |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928684203 |
| Phone Number | 7145098620 |
| Fax Number | 7145094072 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | A75756 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2104032 | MA | -- | |
| J28546 | MA | BCBS MA | |
| 470153 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jason Ellis Cook by the Centers for Medicare & Medicaid Services?
The Jason Ellis Cook has been assigned the NPI (National Provider Identifier) 1689775140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jason Ellis Cook is physically located?
The Jason Ellis Cook is physically situated at the following address: 1201 W La Veta Ave, Orange, CA, 928684203.
What is Jason Ellis Cook's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Ellis Cook is Pediatric Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689775140 to Jason Ellis Cook?
The Centers for Medicare & Medicaid Services originally issued the 1689775140 to Jason Ellis Cook on 2006-09-26.
As of what date was the information pertaining to Jason Ellis Cook, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Ellis Cook, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-04.
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