| Ethan Aaron Cook, MD | |
|
2005 W Main St, Battle Ground, WA 98604-4311 | |
| (360) 882-2778 | |
| Not Available |
| Full Name | Ethan Aaron Cook |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2005 W Main St, Battle Ground, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437808086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 61690580 (Washington) | Primary |
| Entity Name | Buena Vista Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780755728 PECOS PAC ID: 3476464421 Enrollment ID: O20040109001054 |
| Entity Name | Buena Vista Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134191653 PECOS PAC ID: 3476464421 Enrollment ID: O20070125000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Aaron Cook, MD 315 N 34th St Apt 405, Omaha, NE 68131-2561 Ph: () - | Ethan Aaron Cook, MD 2005 W Main St, Battle Ground, WA 98604-4311 Ph: (360) 882-2778 |
Dr. Manuel R. Galaviz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1706 W Main St Ste 113, Battle Ground, WA 98604 Phone: 360-666-8418 | |
Dr. Brenda Diane Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Nw 20th Ave, Battle Ground, WA 98604 Phone: 360-952-4457 Fax: 360-828-7409 | |
Diana Tiganus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 W Main St, Suite 115, Battle Ground, WA 98604 Phone: 360-666-3900 Fax: 360-666-3901 | |
Arthur J Simons, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Nw 12th Ave, Ste 107, Battle Ground, WA 98604 Phone: 360-666-8418 Fax: 360-666-8599 | |
Kathleen Ann Mccormick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604 Phone: 360-687-6650 | |
Dr. Mark Callister Weed, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 W Main St, Battle Ground, WA 98604 Phone: 360-882-2778 Fax: 360-604-1762 |