Individual provider Active NPI

Michael S Cole, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1710973649
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5870 Issued in AR
Practice address
6100 Massard Rd
Fort Smith, AR 72916-8886
Phone
(479) 709-7250
Fax
(479) 709-7251
NPI assigned
Sep 26, 2005
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5870 AR Primary

Addresses

Primary practice location

6100 Massard Rd
Fort Smith, AR 72916-8886

Mailing address

PO Box 11449
Belfast, ME 04915-4005
Phone (479) 709-1924

Other identifiers 2

IdentifierTypeStateIssuer
113298001MedicaidAR
100079840AMedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040923001214 AR Practitioner - Family Practice 2668440868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C5870ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Services Current Accepting new patients
Fort Smith Hma, LLC Past Accepting new patients
Sparks Medical Foundation Past Accepting new patients
Sparks Medical Foundation Family Medicine Past Accepting new patients
Sparks Regional Medical Center Past Accepting new patients

Locations

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

1500 Dodson Ave
Ste 126
Fort Smith, AR 72901
Phone (479) 709-7375

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

1500 Dodson Ave
Ste 65
Fort Smith, AR 72901
Phone (479) 441-5475

600 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7025

6100 Massard Rd
Fort Smith, AR 72916
Phone (479) 441-5151

8600 S 36th Ter
Fort Smith, AR 72908
Phone (479) 709-7422

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: mcole3092@direct.baptist-healthar.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1710973649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11449",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "479-709-1924",
            "fax_number": "479-709-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MASSARD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168886",
            "telephone_number": "479-709-7250",
            "fax_number": "479-709-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113298001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079840A",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.