Dr. Jason Ellis Cook
MD | Pediatric Critical Care Medicine | Male
Dr. Jason Ellis Cook, MD is a Orange, California based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Jason Ellis Cook is
1201 W La Veta Ave, Orange, California - 92868. He can be contacted on phone at
714-509-8620 and fax number 714-509-4072.
Dr. Jason Ellis Cook is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jason Ellis Cook is
1689775140 which was assigned by NPPES on 26 Sep, 2006 and it was last updated on 04 Feb, 2019.
Dr. Jason Ellis Cook license number is
A75756 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in California.
Dr. Jason Ellis Cook is 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 surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Jason Ellis Cook basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Jason Ellis Cook |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jason Ellis Cook address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1201 W La Veta Ave
Orange, CA, 92868
United States |
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| Phone Number : | 714-509-8620 |
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| Fax Number : | 714-509-4072 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689775140 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Sep, 2006 |
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| Last Updated On : | 04 Feb, 2019 |
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Medicare Participation:
Dr. Jason Ellis Cook participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1153377395 |
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| Medicare Enrollment ID : | I20101019001600 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Vermont College Of Medicine |
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| Graduation Year : | 1999 |
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| Accepts Medicare? | Yes. Dr. Jason Ellis Cook accepts medicare insurance. |
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Group Practice Association:
Dr. Jason Ellis Cook is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jason Ellis Cook is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Children's Hospital Of Orange County | 6406944883 | 74 | 1201 W La Veta Ave
Orange, CA - 928684203
Ph: 8887702462 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jason Ellis Cook are as mentioned. Primary taxonomy code for Dr. Jason Ellis Cook, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | A75756 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jason Ellis Cook such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 2104032 | MEDICAID | MA | |
| 470153 | Other | MA | TUFTS HEALTH PLAN |
| J28546 | Other | MA | BCBS MA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1201 W La Veta Ave
Orange, CA, 92868-4203
United States |
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| Phone Number : | 714-509-8620 |
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| Fax Number : | 714-509-4072 |
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Business Location:
Patients can refer following map for directions to
Dr. Jason Ellis Cook practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.