Individual provider Active NPI

Shola A Cole, MD

  • Surgery Physician
  • Orlando, FL
National Provider Identifier
1689824286
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME124147 Issued in FL
Practice address
100 W Grant St
#3085
Orlando, FL 32806-3929
Phone
(718) 757-9365
NPI assigned
Sep 19, 2008
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X ME124147 FL
Surgery Physician 208600000X 042-0013625 VT
Surgery Physician 208600000X ME124147 FL Primary

Addresses

Primary practice location

100 W Grant St
#3085
Orlando, FL 32806-3929

Mailing address

100 W Grant St
#3085
Orlando, FL 32806-3929
Phone (718) 757-9365

Other practice location 1

130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 225-7075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20161028001540 VT Practitioner - General Surgery 0244545895 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Icahn School of Medicine at Mount Sinai, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Medical Center IncGroup PAC ID 4880683663, 55 clinicians

Practice addresses (Care Compare)

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

Hospital & facility affiliations

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 Medicine

State licenses

LicenseStateTypeSpecialty
042-0013625VTMDSurgery Physician
ME124147FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc CurrentSince Nov 21, 2017 Accepting new patients
Central Vermont Medical Center Inc Surgery CurrentSince May 1, 2022 Accepting new patients
Springfield Hospital CurrentSince Jan 22, 2020 Accepting new patients
Springfield Hospital Inc Surgery CurrentSince Jan 22, 2020 Accepting new patients
Gifford Medical Center Inc. CurrentSince Nov 21, 2017 Accepting new patients
Springfield Hospital .Inc CurrentSince Jan 22, 2020 Accepting new patients

Locations

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

29 Ridgewood Rd
Springfield, VT 05156
Phone (802) 885-5733

Interoperability endpoints

  • Direct secure messaging: scole480602@direct.uvmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1689824286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GRANT ST",
            "address_2": "#3085",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063929",
            "telephone_number": "718-757-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GRANT ST",
            "address_2": "#3085",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063929",
            "telephone_number": "718-757-9365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056028132",
            "country_code": "US",
            "telephone_number": "802-225-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHOLA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "ME124147",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "042-0013625",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME124147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.