Organization Active NPI

Mika K. Cole, MD, PA

  • Allergy Physician
  • San Antonio, TX
National Provider Identifier
1407894454
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
H8701 Issued in TX
Legal business name
MIKA K. COLE, MD, PA
Practice address
8001 Broadway St
San Antonio, TX 78209-5713
Phone
(210) 930-4555
Fax
(210) 930-0893
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Mrs. Mika Kamada Cole, MDNPI 1285688168
Title
Owner
Phone
(210) 930-4555

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
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X H8701 TX Primary

Addresses

Primary practice location

8001 Broadway St
San Antonio, TX 78209-5713

Mailing address

8001 Broadway St
San Antonio, TX 78209-2628
Phone (210) 930-4555

Other identifiers 1

IdentifierTypeStateIssuer
172010401MedicaidTX

Other names 1

  • Adult And Pediatri Allergy Ashtma And Immunology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000162 TX Part B Supplier - Clinic/Group Practice 1557334125 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1407894454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092628",
            "telephone_number": "210-930-4555",
            "fax_number": "210-930-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095713",
            "telephone_number": "210-930-4555",
            "fax_number": "210-930-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKA K. COLE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKA",
        "authorized_official_middle_name": "KAMADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-930-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "H8701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172010401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult And Pediatri Allergy Ashtma And Immunology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.