Individual provider Active NPI

Craig A Cole, M.D.

  • Surgery Physician
  • Eunice, LA
National Provider Identifier
1659460384
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13318 Issued in MS
Practice address
1341 E Laurel Ave
Eunice, LA 70535-3707
Phone
(337) 457-8400
Fax
(337) 457-8500
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28812ALMDSpecialist
17008LAMDSurgery Physician
13318MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Jackson Healthcare Authority Past Accepting new patients
Troy Regional Physicians Inc Specialist Past Accepting new patients
Mercy Physician Practices LLC PastSince Oct 10, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crco7401@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/5868/brand/1/csg/1/fhir/r4

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13318 MS
Specialist 174400000X 28812 AL
Surgery Physician 208600000X 17008 LA
Surgery Physician 208600000X 13318 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

1341 E Laurel Ave
Eunice, LA 70535-3707

Mailing address

PO Box 203
Eunice, LA 70535-0203
Phone (337) 457-8400

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1952672MedicaidLA
1659460384MedicaidAL
00110709MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2016.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1659460384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705350203",
            "telephone_number": "337-457-8400",
            "fax_number": "337-457-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 E LAUREL AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353707",
            "telephone_number": "337-457-8400",
            "fax_number": "337-457-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "13318",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "28812",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "17008",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "13318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952672",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659460384",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110709",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.