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Mr. Connie Dale Cook II, PAC

Medical Physician Assistant in Man, WV · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164426128

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Registry record

Entity type Individual (Type 1)
Name Mr. Connie Dale Cook II
Credential PAC
Sex Male
Practice address 600 E Mcdonald Ave, Man, WV, 25635
Phone (304) 583-6541
Fax (304) 583-6018
Enumeration date Jun 8, 2005
Last updated in NPPES Feb 11, 2010

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 626 (WV) Primary

Other identifiers

Identifier Type State Issuer
3810000560 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Connie Cook?
Connie Cook is registered in NPPES with the primary taxonomy of Medical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-11.