Active NPI
Curtis J Cole, PA-C
- Medical Physician Assistant
- Roseburg, OR
National Provider Identifier
1508028721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA151197
- Practice address
- 913 Garden Valley Road
Roseburg, OR 97471-4218 - Phone
- (541) 440-1000
- NPI assigned
- Jun 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA151197 | OR | Primary |
Addresses
Primary practice location
913 Garden Valley Road
Roseburg, OR 97471-4218
Mailing address
PO Box 299
Monmouth, OR 97361-0299
Phone (503) 409-9165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA151197 | OR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1508028721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "MONMOUTH",
"state": "OR",
"postal_code": "973610299",
"telephone_number": "503-409-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 GARDEN VALLEY ROAD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974714218",
"telephone_number": "541-440-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "CURTIS",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-29",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA151197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.