Active NPI
Edward Les Cole III, MD
- Public Health & General Preventive Medicine Physician
- St Petersburg, FL
National Provider Identifier
1265764377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- ME43905
- Practice address
- 2100 Dr Martin Luther King Jr St N
St Petersburg, FL 33704 - Phone
- (727) 202-6807
- Fax
- (727) 498-6642
- NPI assigned
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME43905 | FL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | ME43905 | FL | Primary |
Addresses
Primary practice location
2100 Dr Martin Luther King Jr St N
St Petersburg, FL 33704
Mailing address
2100 Dr Martin Luther King Jr St N
St Petersburg, FL 33704
Phone (727) 202-6807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 19, 2017 through Jun 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinellas Health & Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- St Petersburg, FL
- NPI 1164836797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1265764377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33704",
"telephone_number": "727-202-6807",
"fax_number": "727-202-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33704",
"telephone_number": "727-202-6807",
"fax_number": "727-498-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "EDWARD",
"middle_name": "LES",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME43905",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "ME43905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.