MR. SHANE COOK PA
NPI 1114480159
Physician Assistant in Phoenix, AZ

Active since April 08, 2019
1445 E UTOPIA RD, PHOENIX, AZ 85024(602) 312-3505 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shane Cook Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE COOK PA (NPI 1114480159) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (7407) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1114480159
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHANE COOKCredential: PA
Location Address1445 E UTOPIA RDPhoenix, AZ 85024-3622
Mailing Address1445 E Utopia RdPhoenix, AZ 85024-3622
Sole ProprietorNo
Enumeration DateApril 8, 2019
NPI 1114480159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 7407
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1445 E UTOPIA RD, Phoenix, AZ 85024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Cook's NPI number?

The NPI number for Shane Cook is 1114480159. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Shane Cook located?

Shane Cook practices at 1445 E Utopia Rd, Phoenix, AZ 85024. The listed phone number is (602) 312-3505.

What is Shane Cook's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shane Cook was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.