Organization Active NPI

Cole Internal Medicine,Inc

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1467605071
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101702 Issued in MO
Legal business name
COLE INTERNAL MEDICINE,INC
Practice address
6744 Clayton Rd
Suite 102
Saint Louis, MO 63117-1637
Phone
(314) 645-3677
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Danita Cole
Title
Owner
Phone
(314) 645-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 101702 MO Primary

Addresses

Primary practice location

6744 Clayton Rd
Suite 102
Saint Louis, MO 63117-1637

Mailing address

6744 Clayton Rd
Suite 102
Saint Louis, MO 63117-1637

National Provider Directory

National Provider Directory

Locations

6744 Clayton Rd
Ste 102
Saint Louis, MO 63117
Phone (314) 644-4774

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1467605071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD",
            "address_2": "SUITE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD",
            "address_2": "SUITE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171637",
            "telephone_number": "314-645-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE INTERNAL MEDICINE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-645-3677",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "101702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.