Individual provider Active NPI

Jaime R Cole, P.A-C

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1922196708
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3559 Issued in AZ
Practice address
5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273
Phone
(623) 847-2000
NPI assigned
Oct 10, 2006
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 3559 AZ
Diagnostic Radiology Physician 2085R0202X 3559 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273

Mailing address

16760 W Hilton Ave
Goodyear, AZ 85338-7400
Phone (785) 845-4501

Other practice location 1

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 977-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000502 AZ Practitioner - Physician Assistant 0042316994 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3559AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services PC Physician Assistant CurrentSince Jan 1, 2008 Accepting new patients
Cep America-Arizona, PC CurrentSince Jan 4, 2016 Accepting new patients
Cep America - Arizona PC CurrentSince Jan 4, 2016 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Jan 1, 2008 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Feb 22, 2016 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Feb 22, 2016 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Past Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Past Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

2222 E Highland Ave
Ste 120
Phoenix, AZ 85016
Phone (602) 977-1177

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

9003 E Shea Blvd
Ste Pet
Scottsdale, AZ 85260

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1922196708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16760 W HILTON AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387400",
            "telephone_number": "785-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "623-847-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 W Thunderbird Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513004",
            "country_code": "US",
            "telephone_number": "623-977-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "JAIME",
        "middle_name": "R",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3559",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "3559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.