William Robert Cole, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

412 MDG Edwards Afb Ca
Edwards Afb, CA 93524-0001

Phone

(661) 277-3132

NPI assigned

May 11, 2009

Sex

Male

Sole proprietor

No

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1144454802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42430 56TH ST W",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935364450",
            "telephone_number": "661-839-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MDG EDWARDS AFB CA",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935240001",
            "telephone_number": "661-277-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Byrd, M.D.
• Stephen Joseph Byrnes, O.D.
• Robert Lenton Carlsen, O.D.
• James William Carpenter, M.D.
• Nancyann N Cervantes, PHD
• David I Davamony, PSY.D
• Asit Hirenkumar Dave, DO
• Karen Ann Desocio, LCSW
• James Randall Elliott, MD, MPH
• Joshua Chad Ford, DPT

• All providers in Edwards Afb, CA
• Independent Duty Medical Technicians in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.