Individual provider Active NPI

Marie Carol Cole, M.D.

  • Pediatrics Physician
  • East Lansing, MI
National Provider Identifier
1861464331
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301406765 Issued in MI
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040112000568 TX Practitioner - Pediatric Medicine 2365342599 Reassigns benefits to 1 organization
I20191014000117 MI Practitioner - Pediatric Medicine 2365342599 Reassigns benefits to 1 organization
I20250730003408 VI Practitioner - Pediatric Medicine 2365342599 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Oct 1, 2019 Accepting new patients
Michigan State University Pediatrics CurrentSince Oct 1, 2019 Accepting new patients
Capital Area Pathologists, PC Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 1, 2018 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 1, 2018 Accepting new patients
Michigan State University Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince May 26, 2025 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince May 26, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.