Active NPI
Mika K. Cole, MD, PA
- Allergy Physician
- San Antonio, TX
National Provider Identifier
1407894454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- H8701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mika Kamada Cole, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172010401 | Medicaid | TX |
Other names 1
- Adult And Pediatri Allergy Ashtma And Immunology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- San Antonio, TX
- NPI 1285688168
-
- Rheumatology Physician
- San Antonio, TX
- NPI 1780604793
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.