Active NPI
Amber Brittany Cole, PA-C
- Medical Physician Assistant
- Toledo, OH
National Provider Identifier
1821398579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054681
- Practice address
- 4405 N Holland Sylvania Rd
Suite 101
Toledo, OH 43623-3529 - Phone
- (419) 517-0146
- Fax
- (419) 517-0496
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054681 | PA | Primary |
Addresses
Primary practice location
4405 N Holland Sylvania Rd
Suite 101
Toledo, OH 43623-3529
Mailing address
12329 Waterstone LN
Apt 618
Perrysburg, OH 43551-3051
Phone (412) 691-1116
Other names 1
- Miss Amber Brittany Manack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054681 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elk Regional Health Center | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Elk Regional Health Center | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Clearfield Hospital | Past | Accepting new patients | |
| Clearfield Hospital | Past | Accepting new patients | |
| Observation Physicians of Northwest Ohio LLC | Past | Accepting new patients |
Locations
809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341
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
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Du Bois, PA
- NPI 1992802391
-
- Emergency Medicine Physician
- Saint Marys, PA
- NPI 1114460391
-
- Pharmacy
- Ridgway, PA
- NPI 1366900458
-
- Long Term Care Pharmacy
- Saint Marys, PA
- NPI 1790570067
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
-
- Emergency Medicine Physician
- Clearfield, PA
- NPI 1063456531
-
- General Acute Care Hospital
- Clearfield, PA
- NPI 1245402411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1821398579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12329 WATERSTONE LN",
"address_2": "APT 618",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435513051",
"telephone_number": "412-691-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 N HOLLAND SYLVANIA RD",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233529",
"telephone_number": "419-517-0146",
"fax_number": "419-517-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "AMBER",
"middle_name": "BRITTANY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "MANACK",
"middle_name": "BRITTANY",
"prefix": "MISS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.