Organization Active NPI

Cole Center for Healing, Inc

  • Family Medicine Physician
  • West Chester, OH
National Provider Identifier
1386642080
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004375C Issued in OH
Legal business name
COLE CENTER FOR HEALING, INC
Practice address
7760 University CT
Ste C
West Chester, OH 45069-3371
Phone
(513) 563-4321
Fax
(513) 847-1017
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Theodore J Cole, D.ONPI 1063694966
Title
Physician Owner
Phone
(513) 563-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34004375C OH Primary

Addresses

Primary practice location

7760 University CT
Ste C
West Chester, OH 45069-3371

Mailing address

7760 University CT
Suite C
West Chester, OH 45069-3371
Phone (513) 563-4321

Other identifiers 5

IdentifierTypeStateIssuer
000000017595OtherOHANTHEM
080150714OtherOHRAILROAD MEDICARE
1S37037OtherOHUMWA HEALTH AND RETIREMEN
0437505OtherOHHUMANA/CHOICE CARE
OI04689OtherOHUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000126 OH Part B Supplier - Clinic/Group Practice 3274566526 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, OH

National Provider Directory

National Provider Directory

Locations

11974 Lebanon Rd
Ste 228
Cincinnati, OH 45241
Phone (513) 563-4321

7760 W Voice of America Park Dr
Ste C
West Chester, OH 45069
Phone (513) 563-4321

7760 University Dr
#C
West Chester, OH 45069

7760 University Dr
Ste C
West Chester, OH 45069
Phone (513) 563-4321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1386642080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 UNIVERSITY CT",
            "address_2": "SUITE C",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-563-4321",
            "fax_number": "513-847-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 UNIVERSITY CT",
            "address_2": "STE C",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-563-4321",
            "fax_number": "513-847-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE CENTER FOR HEALING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "513-563-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004375C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000017595",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080150714",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA HEALTH AND RETIREMEN",
            "identifier": "1S37037",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/CHOICE CARE",
            "identifier": "0437505",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "OI04689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.