Active NPI
Stephen Leroy Cole, MD
- Family Medicine Physician
- Auburn, IN
National Provider Identifier
1073555173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O102135614
- Practice address
- 1310 E. 7TH Street
Suite F
Auburn, IN 46706-2518 - Phone
- (260) 925-9511
- Fax
- (260) 925-7626
- NPI assigned
- Jun 12, 2006
- Last updated
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O102135614 | IN | Primary |
Addresses
Primary practice location
1310 E. 7TH Street
Suite F
Auburn, IN 46706-2518
Mailing address
1310 E 7TH St
Dekalb Medical Arts Suite F
Auburn, IN 46706-2534
Phone (260) 925-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O102135614 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Health System, LLC | Past | Accepting new patients | |
| Redimed Dekalb LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Auburn, IN
- NPI 1669417457
-
dba Lutheran Downtown Hospital
- Medicare Defined Swing Bed Hospital Unit
- Fort Wayne, IN
- NPI 1538812946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1073555173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 E 7TH ST",
"address_2": "DEKALB MEDICAL ARTS SUITE F",
"city": "AUBURN",
"state": "IN",
"postal_code": "467062534",
"telephone_number": "260-925-9511",
"fax_number": "260-925-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 E. 7TH STREET",
"address_2": "SUITE F",
"city": "AUBURN",
"state": "IN",
"postal_code": "467062518",
"telephone_number": "260-925-9511",
"fax_number": "260-925-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "STEPHEN",
"middle_name": "LEROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "O102135614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.