Organization Active NPI

Dr. Edward S Kole DO PC

Doing business as Kole Plastic Surgery Center

  • Plastic Surgery Physician
  • Southampton, PA
National Provider Identifier
1053517169
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
OS 009149-L Issued in PA
Legal business name
DR. EDWARD S KOLE DO PC
Doing business as
Kole Plastic Surgery Center
Practice address
1003 Street Rd
Southampton, PA 18966-4230
Phone
(215) 354-1010
Fax
(215) 354-1099
NPI assigned
Jun 25, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edward Scott Kole, DONPI 1104870757
Title
President
Phone
(215) 354-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X OS 009149-L PA Primary

Addresses

Primary practice location

1003 Street Rd
Southampton, PA 18966-4230

Mailing address

1003 Street Rd
Southampton, PA 18966-4230
Phone (215) 354-1010

Other names 1

  • Kole Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

1003 Street Rd
Southampton, PA 18966
Phone (215) 354-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1053517169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664230",
            "telephone_number": "215-354-1010",
            "fax_number": "215-354-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664230",
            "telephone_number": "215-354-1010",
            "fax_number": "215-354-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD S KOLE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "KOLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-354-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "OS 009149-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kole Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.