NPIMap

Individual provider Active NPI

Justin Allen Cole, M.D.

  • Emergency Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1790132199
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD469018 Issued in PA
Practice address
10421 Scarlet Oak Dr
Perrysburg, OH 43551
Phone
(724) 557-0327
NPI assigned
May 16, 2016
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 35.134694 OH
Emergency Medicine Physician 207P00000X MD469018 PA Primary

Addresses

Primary practice location

10421 Scarlet Oak Dr
Perrysburg, OH 43551

Mailing address

10421 Scarlet Oak Dr
Perrysburg, OH 43551-9169
Phone (724) 557-0327

Other practice location 1

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180919000785 OH Practitioner - Emergency Medicine 1355692039 Reassigns benefits to 2 organizations
I20191021000865 WV Practitioner - Emergency Medicine 1355692039
I20191023000012 PA Practitioner - Emergency Medicine 1355692039 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Tyrone HospitalGroup PAC ID 4183619885, 21 clinicians
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-6333

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Elk Regional Health Center Emergency Medicine CurrentSince Nov 2, 2019 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Aug 8, 2018 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Tyrone Hospital CurrentSince Oct 12, 2022 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Oct 12, 2022 Accepting new patients
Elk Regional Health Center CurrentSince Nov 2, 2019 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

187 Hospital Dr
#A
Tyrone, PA 16686
Phone (814) 503-4735

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1790132199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 SCARLET OAK DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519169",
            "telephone_number": "724-557-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 SCARLET OAK DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "724-557-0327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Tyrone",
            "state": "PA",
            "postal_code": "166861808",
            "country_code": "US",
            "telephone_number": "814-684-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.134694",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD469018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.