Active NPI
Wendy Anne Cole, MD
- Emergency Medicine Physician
- Novato, CA
National Provider Identifier
1366426637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A75088
- Practice address
- 180 Rowland Way
Novato, CA 94945-5009 - Phone
- (209) 342-2300
- Fax
- (209) 524-4240
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A75088 | CA | Primary |
Addresses
Primary practice location
180 Rowland Way
Novato, CA 94945-5009
Mailing address
4301 North Star Way
Modesto, CA 95356
Phone (209) 342-2300
Other practice location 1
6580 Hembree Ln Ste 270
Windsor, CA 95492-6885
Phone (707) 838-2044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A750880 | Other | CA | BLUE SHIELD |
| 00A750880 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1366426637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 NORTH STAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "95356",
"telephone_number": "209-342-2300",
"fax_number": "209-524-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 ROWLAND WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455009",
"telephone_number": "209-342-2300",
"fax_number": "209-524-4240"
}
],
"practiceLocations": [
{
"address_1": "6580 Hembree Ln Ste 270",
"address_purpose": "LOCATION",
"city": "Windsor",
"state": "CA",
"postal_code": "954926885",
"country_code": "US",
"telephone_number": "707-838-2044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "WENDY",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A75088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A750880",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A750880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.