NPIMap

Individual provider Active NPI

Jessica Marie Miglicco Cole, MD

  • Obstetrics & Gynecology Physician
  • Lake Charles, LA
National Provider Identifier
1386104115
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
336284 Issued in LA
Practice address
1890 W Gauthier Rd Ste 145
Lake Charles, LA 70605-7600
Phone
(337) 480-5590
Fax
(337) 480-5591
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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
Obstetrics & Gynecology Physician 207V00000X 336284 LA Primary

Addresses

Primary practice location

1890 W Gauthier Rd Ste 145
Lake Charles, LA 70605-7600

Mailing address

PO Box 122534 Dept 2534
Dallas, TX 75312-0001
Phone (337) 494-2921

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
I20230915000569 LA Practitioner - Obstetrics/Gynecology 7416283155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Matthew G Scroggs, MD, LLCGroup PAC ID 4981884491, 3 clinicians

Practice addresses (Care Compare)

1890 W Gauthier Rd
Suite 140
Lake Charles, LA 70605-7179
Phone (337) 480-5570

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LCMS Matthew G Scroggs, MD, LLC Obstetrics & Gynecology CurrentSince Aug 31, 2023 Accepting new patients
Southwest Louisiana Hospital Association Inc Obstetrics & Gynecology CurrentSince Aug 31, 2023 Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

1890 W Gauthier Rd
Ste 145
Lake Charles, LA 70605
Phone (337) 480-5540

1890 W Gauthier Rd
Ste 140
Lake Charles, LA 70605
Phone (337) 480-5570

Interoperability endpoints

  • Direct secure messaging: jcole5282018@direct.casso.us.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1386104115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122534 DEPT 2534",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W GAUTHIER RD STE 145",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057600",
            "telephone_number": "337-480-5590",
            "fax_number": "337-480-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JESSICA",
        "middle_name": "MARIE MIGLICCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "336284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.