Cole Robert Miller

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT006034 Issued in OH

Practice address

625 Broad St
Wadsworth, OH 44281-2319

Phone

(910) 330-8233

NPI assigned

Jun 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1083282909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 VALLEYDALE ST SE",
            "city": "MAGNOLIA",
            "state": "OH",
            "postal_code": "446439738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROAD ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442812319",
            "telephone_number": "910-330-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COLE",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Alan Megenhardt
• Suresh D Mendpara, MD, MBA
• Taylor Meng, LPN
• Janis Marie Menk
• Stephanie Mesko, D.O.
• Kyle George Milligan, MPT
• Minding the Gap
• Walter Minko, PARENT
• Cheryl L. Minor, OTR,L RYT
• Kathy Miros330-

• Athletic Trainer in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.