Organization Active NPI

Gary B Cole, MD, PA

  • Primary Care Clinic/Center
  • Mt Pleasant, TX
National Provider Identifier
1124017819
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
E3237 Issued in TX
Legal business name
GARY B COLE, MD, PA
Practice address
901 N Jefferson Ave
Mt Pleasant, TX 75455-3259
Phone
(903) 577-7700
Fax
(903) 577-7706
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Gary B. Cole, M.D.
Title
Owner
Phone
(903) 577-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X E3237 TX Primary

Addresses

Primary practice location

901 N Jefferson Ave
Mt Pleasant, TX 75455-3259

Mailing address

PO Box 531
Mt Pleasant, TX 75456-0531
Phone (903) 577-7700

Other identifiers 4

IdentifierTypeStateIssuer
0020LWOtherTXBCBS
8P5370OtherTXBCBS
172541201MedicaidTX
172841201MedicaidTX

Other names 1

  • Fastrac Minor Emergency Clinic Other name

National Provider Directory

National Provider Directory

Locations

901 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 577-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1124017819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754560531",
            "telephone_number": "903-577-7700",
            "fax_number": "903-577-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754553259",
            "telephone_number": "903-577-7700",
            "fax_number": "903-577-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B COLE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-577-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E3237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020LW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P5370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172541201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172841201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fastrac Minor Emergency Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.