Individual provider Active NPI

Jana K Cole, MD

  • Plastic and Reconstructive Surgery Physician
  • Anchorage, AK
National Provider Identifier
1891741393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
5635 Issued in AK
Practice address
2741 Debarr Rd Ste C215
Anchorage, AK 99508-2978
Phone
(907) 563-2002
Fax
(907) 562-7628
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 5635 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C215
Anchorage, AK 99508-2978

Mailing address

2741 Debarr Rd Ste C215
Anchorage, AK 99508-2978
Phone (907) 563-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060407000175 AK Practitioner - Plastic and Reconstructive Surgery 7911916622 Reassigns benefits to 1 organization
I20070621000641 TX Practitioner - Plastic and Reconstructive Surgery 7911916622 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5635AKMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Nov 14, 2006 Accepting new patients
Plastic Surgeons of Alaska, LLC CurrentSince Mar 25, 2009 Accepting new patients
Nourishing Direction Inc Plastic and Reconstructive Surgery PastSince Jan 13, 2010 Accepting new patients
Michael Manuel,MD,PC PastSince Mar 25, 2009 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

2741 Debarr Rd
Ste C215
Anchorage, AK 99508
Phone (907) 563-2002

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891741393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C215",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082978",
            "telephone_number": "907-563-2002",
            "fax_number": "907-562-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C215",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082978",
            "telephone_number": "907-563-2002",
            "fax_number": "907-562-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JANA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AK",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.