Active NPI
Marie Carol Cole, M.D.
- Pediatrics Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301406765
- Practice address
- 804 Service Rd Ste A110
East Lansing, MI 48824-7015 - Phone
- (517) 353-3003
- Fax
- (517) 353-5514
- NPI assigned
- Feb 7, 2006
- Last updated
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301406765 | MI | Primary |
Addresses
Primary practice location
804 Service Rd Ste A110
East Lansing, MI 48824-7015
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-3003
Other practice location 1
1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone (517) 364-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan State University | Current | Accepting new patients | |
| Michigan State University | Pediatrics | Current | Accepting new patients |
| Capital Area Pathologists, PC | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients |
Locations
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Rm A110
East Lansing, MI 48824
Phone (517) 353-3003
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440
13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
Interoperability endpoints
- mcole20074@choctawnation.direct-ci.com
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1891747614
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- Anatomic Pathology & Clinical Pathology Physician
- Lansing, MI
- NPI 1417049925
-
dba Michigan State University Extension
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Pediatric Hematology & Oncology Physician
- Lansing, MI
- NPI 1205880333
Pediatrics
-
- Surgery Physician
- East Lansing, MI
- NPI 1699725895
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1851470744
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1861464331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-3003",
"fax_number": "517-353-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A110",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-3003",
"fax_number": "517-353-5514"
}
],
"practiceLocations": [
{
"address_1": "1200 E Michigan Ave Ste 145",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121897",
"country_code": "US",
"telephone_number": "517-364-5440",
"fax_number": "517-364-5409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "MARIE",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301406765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.