MARISA P. COOKE P.A. NPI 1639354509

NPI Information

NPI: 1639354509
Provider Name: MARISA P. COOKE, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
22 W UNDERWOOD ST
ORLANDO, FL
ZIP 32806
Phone: (407) 648-3800
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Marisa P. Cooke, P.A. is a surgical physician assistant in Orlando, FL with 17 years of experience. Marisa P. Cooke, P.A. NPI is 1639354509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22 W UNDERWOOD ST
ORLANDO, FL
ZIP 32806-110
Phone: (407) 648-3800
Fax: (407) 425-5203

The NPI 1639354509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Partial removal of breast (HCPCS:19301)

The enumeration date for this NPI number is 1/9/2008 and was last updated on 6/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9104877	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	085.003112	ILLINOIS	No
3	363AS0400X	Physician Assistant	Surgical	PA9104877	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA9104877	OTHER	FLORIDA	MEDICAL LICENSE
2	009120300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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