| Ryan S Cook, APRN | |
|
540 Lincoln Park Blvd, Suite 200, Dayton, OH 45429-6401 | |
| (937) 298-8058 | |
| (937) 298-5638 |
| Full Name | Ryan S Cook |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 540 Lincoln Park Blvd, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720478548 | NPI | - | NPPES |
| 000000916710 | Other | KY | ANTHEM-NICC |
| 171432 | Other | KY | SIHO-NICC |
| 7100338960 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3009047 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.19092-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Trinity Regional Medical Center | 7315858529 | 144 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan S Cook, APRN 540 Lincoln Park Blvd, Suite 200, Dayton, OH 45429-6401 Ph: (937) 298-8058 | Ryan S Cook, APRN 540 Lincoln Park Blvd, Suite 200, Dayton, OH 45429-6401 Ph: (937) 298-8058 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Chasity Rene Lemons, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd Ste 20, Dayton, OH 45414 Phone: 937-454-9527 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 |