Michael C Cole, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

2020033685 Issued in MO

Practice address

4030 Chouteau Ave
Saint Louis, MO 63110-1754

Phone

(636) 282-0380

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1104515857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 CHOUTEAU AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101754",
            "telephone_number": "636-282-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Boyd St",
            "address_purpose": "LOCATION",
            "city": "DE Soto",
            "state": "MO",
            "postal_code": "630201702",
            "country_code": "US",
            "telephone_number": "636-282-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "2020033685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Cole
• Francis Sessions Cole III, MD
• James Jeffrey Cole Jr., M.D.
• Kate Marie-Foley Cole, MS-CCC-SLP
• Lillian Cole, M.S., CCC-SLP
• Michael Robert Cole II, DC
• Patricia L Cole, MD
• Roger B Cole, MD
• Sarah Z. Cole, D.O.
• Sidney Edwards Cole, MSW LCSW

• Adult Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.