Ryan N Cole, MD

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

M-8883 Issued in ID

Practice address

7988 W. Marigold St.
Ste. 150
Boise, ID 83714

Phone

(208) 472-1072

Fax

(208) 472-1078

NPI assigned

Jun 14, 2006

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cole Diagnostics, Inc

  • Clinical Medical Laboratory
  • Boise, ID
  • NPI 1871608695
  Authorized official Same address or phone
• St Alphonsus Professional Medical Services LLC

  dba SAMG Anesthesia

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1386677524

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1871536243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7988 W. MARIGOLD ST.",
            "address_2": "STE. 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "208-472-1082",
            "fax_number": "208-472-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 W. MARIGOLD ST.",
            "address_2": "STE. 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "208-472-1072",
            "fax_number": "208-472-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "RYAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "ID",
            "license": "M-8883",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ID",
            "license": "M8883",
            "primary": false
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "ID",
            "license": "M8883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Kevin Cole, DDS
• John Robert Cole, DDS
• Karen Lee Cole, PT
• Patrick Cole, MD
• Rory A Cole, MD
• Tonya Darcy Cole, RPH
• Andrew Steven Coleman, DO
• Austin Coleman
• Bethany Grace Coleman, WHNP
• Brian Scott Coleman, LCSW

• Dermatopathology (Pathology) Physician in Boise, ID
• Providers in Boise, ID by specialty
• Dermatopathology (Pathology) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.

Verify at the official NPI Registry.