Michael A Cole, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Marshall, MI
NPI 1376643197 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376643197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704115597 (MI)
- Practice address
- 200 N Madison St
Marshall, MI 49068-1143 - Phone
- (269) 781-4271
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704115597 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coca Sabal Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Southwest Florida Anesthesia Plus | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Signature Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704115597 | MI | Yes |
Addresses
Primary practice location
200 N Madison St
Marshall, MI 49068-1143
Mailing address
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3178817 | Medicaid | MI |
Other providers in Marshall, MI
- Kelly Christophel
- Ashlyn Clemens
- Charlotte R Closson
- Cloverdale Senior Housing
- Deborah Gaye Codde
- Desiree Cook
- County of Calhoun
- Cradle Connections LLC
- Craft Chiropractic Center PC
- Creating Change Counseling LLC
All providers in Marshall, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.