NPIMap

Individual provider Active NPI

Philip A Cole II, MD

  • Surgery Physician
  • Alexandria, LA
National Provider Identifier
1225249105
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
204473 Issued in LA
Practice address
3311 Prescott Rd
Suite 201
Alexandria, LA 71301-3900
Phone
(318) 442-6767
Fax
(318) 441-1359
NPI assigned
May 24, 2007
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X 204473 LA Primary

Addresses

Primary practice location

3311 Prescott Rd
Suite 201
Alexandria, LA 71301-3900

Mailing address

3311 Prescott Rd Ste 201
Alexandria, LA 71301-3983
Phone (318) 442-6767

Other identifiers 1

IdentifierTypeStateIssuer
1079341MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000505 LA Practitioner - General Surgery 6406010115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Health Central LouisianaGroup PAC ID 4688570955, shared by 10 NPIs, 46 clinicians
Mid Louisiana Surgical SpecialistsGroup PAC ID 4284610080, 9 clinicians

Practice addresses (Care Compare)

1633 Marvel St
Coushatta, LA 71019-9022
Phone (318) 932-2081

1635 Marvel St
Coushatta, LA 71019-9022

3311 Prescott Rd
Suite 201
Alexandria, LA 71301-3983
Phone (318) 442-6767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy87
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204473LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Central Louisiana Current Accepting new patients
CLHG-Winn LLC CurrentSince Dec 1, 2023 Accepting new patients
Mid Louisiana Surgical Specialists CurrentSince Jul 1, 2012 Accepting new patients
Christus Health Central Louisiana CurrentSince Jun 1, 2016 Accepting new patients
Christus Health Central Louisiana CurrentSince Mar 1, 2025 Accepting new patients
CLHG-Winn, LLC Surgery CurrentSince Dec 1, 2023 Accepting new patients
Christus Health Central Louisiana CurrentSince Jun 1, 2016 Accepting new patients
Christus Health Central Louisiana Past Accepting new patients

Locations

3311 Prescott Rd
Ste 201
Alexandria, LA 71301
Phone (318) 442-6767

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

1633 Marvel St
Coushatta, LA 71019
Phone (318) 932-2081

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721

301 W Boundary Ave
Ste B
Winnfield, LA 71483
Phone (318) 209-4646

Interoperability endpoints

  • Direct secure messaging: pcole416447@christushealth.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1225249105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 201",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-442-6767",
            "fax_number": "318-441-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 201",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-442-6767",
            "fax_number": "318-441-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "204473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079341",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.