Individual provider Active NPI

Edward Scott Kole, DO

  • Plastic Surgery Physician
  • Southampton, PA
National Provider Identifier
1104870757
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
Practice address
1003 Street Rd
Southampton, PA 18966-4230
Phone
(215) 354-1010
Fax
(215) 354-1099
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000976 PA Practitioner - Plastic and Reconstructive Surgery 8628011830 Practice locations: Southampton, PA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1122 St Rd
Suite 100
Southampton, PA 18966-4218
Phone (215) 354-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-009149-LPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Edward S Kole DO PC Plastic Surgery CurrentSince Jan 1, 1990 Accepting new patients
Bucks County Plastic Surgery Center, PC Plastic Surgery Past Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1104870757",
    "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": {
        "last_name": "KOLE",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "OS-009149-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.