Roger Cole MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2011012589 Issued in MO

Legal business name

ROGER COLE MD, LLC

Practice address

4625 Lindell Blvd
Suite 507
Saint Louis, MO 63108-3725

Phone

(314) 367-4800

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Roger Barto Cole, MD, PHD

Title

Owner, Physician

Phone

(314) 367-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1407230956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD",
            "address_2": "SUITE 507",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725",
            "telephone_number": "314-367-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD",
            "address_2": "SUITE 507",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725",
            "telephone_number": "314-367-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER COLE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "BARTO",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "314-367-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2011012589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kay Roethemeyer, ANP
• Janelle Roethemeyer, M.D.
• John D Rogakos, MD
• Courtney Deann Rogan
• Desirai Ann Rogan, MD
• Phyllis Rogers-Goodman
• Alexandra Rogers, LCSW
• Alliyah Rogers
• Benjamin D Rogers, MD
• Catherine C Rogers, ANP

• Primary Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.