Individual provider Active NPI

Donald Coles, D.O.M., A.P., PA-C

  • Physician Assistant
  • Miramar, FL
National Provider Identifier
1114128568
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9104805 Issued in FL
Practice address
6049 Miramar Pkwy
Miramar, FL 33023-3937
Phone
(954) 593-5524
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1506 FL
Physician Assistant 363A00000X PA 9104805 FL Primary

Addresses

Primary practice location

6049 Miramar Pkwy
Miramar, FL 33023-3937

Mailing address

6049 Miramar Pkwy
Miramar, FL 33023-3937
Phone (954) 593-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090801000018 FL Practitioner - Physician Assistant 8224181672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Med IncGroup PAC ID 9234115460, 5 clinicians

Practice addresses (Care Compare)

10199 Cleary Blvd
Suite 10
Plantation, FL 33324-1029
Phone (954) 473-8565

2337 S University Dr
Davie, FL 33324-5842
Phone (954) 423-9234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AP1506FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaa Urgent Care PastSince Sep 24, 2015 Accepting new patients
Coles Healthcare Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: donald.coles@3689.securemail.prognocis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJHFAD/Endpoint/CJHFAD

Organizations & group practices 3

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1114128568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233937",
            "telephone_number": "954-593-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233937",
            "telephone_number": "954-593-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.O.M., A.P., PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9104805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.