Individual provider Active NPI

Jeffrey Allen Cole, DO

  • Surgery Physician
  • Dover Foxcroft, ME
National Provider Identifier
1659484491
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101014040 Issued in MI
Practice address
891 W Main St
Suite 700
Dover Foxcroft, ME 04426-1059
Phone
(207) 564-4466
Fax
(207) 564-4468
NPI assigned
Aug 16, 2006
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101014040 MI Primary

Addresses

Primary practice location

891 W Main St
Suite 700
Dover Foxcroft, ME 04426-1059

Mailing address

891 W Main St
Suite 700
Dover Foxcroft, ME 04426-1059
Phone (207) 564-4466

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014040MIMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1659484491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4466",
            "fax_number": "207-564-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "SUITE 700",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4466",
            "fax_number": "207-564-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101014040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.