William Cole, DESIGNATED MANAGER

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Practice address

1451 Mullanphy St
Saint Louis, MO 63106-3114

Phone

(314) 409-1686

NPI assigned

Sep 3, 2015

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

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1124496336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 MULLANPHY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063114",
            "telephone_number": "314-409-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 MULLANPHY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063114",
            "telephone_number": "314-409-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DESIGNATED MANAGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Z. Cole, D.O.
• Sidney Edwards Cole, MSW LCSW
• Stacey Darnella Cole
• Sydney Elise Cole
• Tracy Nicole Cole
• Zachariah William Cole, DMD, MD
• Coleman Healthcare LLC
• Coleman Homecare Solution LLC
• Nasebo A Coleman-Robinson, MA, PLPC, CRC,
• Carter Coleman

• Preferred Provider Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.