Individual provider Active NPI

Stephanie Joy Cole, DO

  • Surgery Physician
  • Goshen, IN
National Provider Identifier
1922238666
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02009259A Issued in IN
Practice address
1135 Professional Dr
Goshen, IN 46526-3800
Phone
(574) 364-4600
Fax
(574) 364-4610
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02009259A IN Primary

Addresses

Primary practice location

1135 Professional Dr
Goshen, IN 46526-3800

Mailing address

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-2888

Other names 1

  • Stephanie Joy Ingham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161111001158 MI Practitioner - General Surgery 1456577014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-011401OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Mar 16, 2026 Accepting new patients
McLaren Central Michigan CurrentSince Mar 16, 2026 Accepting new patients
VHS Physicians of Michigan CurrentSince Oct 4, 2019 Accepting new patients

Locations

1 William Carls Dr
Ste G131
Commerce Twp, MI 48382
Phone (248) 242-7330

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

Organizations & group practices 5

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1922238666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH PARK AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264810",
            "telephone_number": "574-364-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PROFESSIONAL DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263800",
            "telephone_number": "574-364-4600",
            "fax_number": "574-364-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02009259A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "INGHAM",
            "middle_name": "JOY",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.