MICHAEL C COLE MD - NPI 1104515857 - Family Medicine in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

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About Michael C Cole Md NPPES

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

MICHAEL C COLE MD (NPI 1104515857) is an individual adult medicine provider in Saint Louis, Missouri, licensed in Missouri (2020033685) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1104515857

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameMICHAEL C COLECredential: MD

Location Address4030 CHOUTEAU AVESaint Louis, MO 63110-1754

Mailing Address1153 E Gannon DrFestus, MO 63028-2611

Phone(636) 282-0380

Sole ProprietorYes

Enumeration DateMay 8, 2023

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1104515857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in MO · 2020033685

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

4030 CHOUTEAU AVE, Saint Louis, MO 63110

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Other Providers at the Same Location NPPES 7

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

FRESENIUS MEDICAL CARE OF CHOUTEAU

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)