Jacqueline N Cole, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20005 Issued in WV

Practice address

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701-3656

Phone

(304) 691-1100

Fax

(304) 691-1153

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of Huntington, Inc.

  • Community Based Hospice Care Agency
  • South Point, OH
  • NPI 1801036025

  W-2 Managing Employee

  CMS ownership

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.

• Hospice of Huntington, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Huntington, WV
  • NPI 1972018646

  WV

  Medicare reassignment NPD
• Hospice of Huntington, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • South Point, OH
  • NPI 1740789080

  OH

  Medicare reassignment
• Collaborative Geriatrics, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Milton, WV
  • NPI 1629004221

  Family Medicine

  NPD (past)
• Hospice of Huntington, Inc.

  • Community Based Hospice Care Agency
  • South Point, OH
  • NPI 1801036025

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1467413476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "STE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "STE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JACQUELINE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1807624000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64039076",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269914",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Alan Cochrane, MD
• Emma Coffman
• Shawn Wayne Coffman, MD
• Jake Cogan, APRN
• Alan C Cole, LPC
• Andrew Corey Colegrove, APRN
• Laura Marie Colegrove
• Craig Coleman, M.A., CCC-SLP
• Ethan Coleman
• Nicole Coleman

• Family Medicine Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.