Provider Demographics
NPI:1639497860
Name:COOK, ERIN E (AA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:COOK
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:BODNAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AA
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:
Practice Address - Street 1:33300 CLEVELAND CLINIC BLVD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1172
Practice Address - Country:US
Practice Address - Phone:440-695-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH67.000330367H00000X
FLAA53367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant