Justin McGraw Cole, M.D. PH.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

MD60022112 Issued in WA

Practice address

1498 SE Tech Center PL
Suite 390
Vancouver, WA 98683-9591

Phone

(360) 597-1050

Fax

(360) 891-7753

NPI assigned

Jan 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Northwest Cancer Specialists PC

  dba Compass Oncology

  • Hematology & Oncology Physician
  • Vancouver, WA
  • NPI 1407828114

  OR

  Medicare reassignment
• CPLM Pathology Outreach Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1235460890

  Clinical Pathology/Laboratory Medicine

  NPD (past)
• Georgia Cancer Specialists I, PC

  • Specialist
  • Atlanta, GA
  • NPI 1821076241
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1629254065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 390",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-597-1050",
            "fax_number": "360-891-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 390",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-597-1050",
            "fax_number": "360-891-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JUSTIN",
        "middle_name": "MCGRAW",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "GA",
            "license": "059389",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "GA",
            "license": "059389",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WA",
            "license": "MD60022112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106781B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookelynn Cole, BEHAVIOR ANALYST
• Diane Lyn Cole, LCSW LICSW PHD
• Faith Cole
• Gary Alan Cole, OD
• Janell Cole, R.N.
• Kaden Cole
• Martha Melanie Amanda Cole
• Michael Cole, R.PH.
• Reynah Marie Cole, DPT
• Dustin Colegrove, D.O.

• Clinical Pathology/Laboratory Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Pathology/Laboratory Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.