KOLE PLASTIC SURGERY CENTER
NPI 1053517169
Plastic Surgery in Southampton, PA

Active since June 25, 2007CLIA 39D1017649 · Waiver
1003 STREET RD, SOUTHAMPTON, PA 18966(215) 354-1010(215) 354-1099 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kole Plastic Surgery Center NPPES

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

KOLE PLASTIC SURGERY CENTER (NPI 1053517169) is a healthcare organization registered as a plastic surgery in Southampton, Pennsylvania and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Edward Scott Kole, President, as its authorized official.

NPPES Registry Identity

NPI1053517169
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDR. EDWARD S KOLE DO PC
Location Address1003 STREET RDSouthampton, PA 18966-4230
Mailing Address1003 Street RdSouthampton, PA 18966-4230 · (215) 354-1010 · Fax (215) 354-1099
Fax(215) 354-1099
Organization SubpartNo
Authorized OfficialEdward Scott KolePresident · (215) 354-1010
Enumeration DateJune 25, 2007
Last NPPES UpdateAugust 14, 2007
NPI 1053517169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in PA · OS 009149-L
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1003 STREET RD, Southampton, PA 18966

Other Names 1

Doing Business AsKole Plastic Surgery Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1017649

Kole Plastic Surgery Center · Southampton, PA
Active · expires Sep 30, 2027
CLIA Number39D1017649
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorEdward S. Kole Do
Laboratory Phone(215) 354-1010
Laboratory LocationKole Plastic Surgery Center1122 Street Rd Suite 100, Southampton, PA 18966
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1003 STREET RD
SOUTHAMPTON, PA 18966

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 Dr. Edward S Kole Do PC's NPI number?

The NPI number for Dr. Edward S Kole Do PC is 1053517169. It was assigned to this organization in the NPPES registry on June 25, 2007. The provider is doing business as Kole Plastic Surgery Center.

Where is Dr. Edward S Kole Do PC located?

Dr. Edward S Kole Do PC is located at 1003 Street Rd, Southampton, PA 18966. The listed phone number is (215) 354-1010.

What is Dr. Edward S Kole Do PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Dr. Edward S Kole Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1017649) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Edward S Kole Do PC was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.