Active NPI
Gary B Cole, MD, PA
- Primary Care Clinic/Center
- Mt Pleasant, TX
National Provider Identifier
1124017819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- E3237
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020LW | Other | TX | BCBS |
| 8P5370 | Other | TX | BCBS |
| 172541201 | Medicaid | TX | |
| 172841201 | Medicaid | TX |
Other names 1
- Fastrac Minor Emergency Clinic
National Provider Directory
National Provider DirectoryLocations
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.