Active NPI
Stephanie Joy Cole, DO
- Surgery Physician
- Goshen, IN
National Provider Identifier
1922238666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 02009259A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.26 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34-011401 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| VHS Physicians of Michigan | Current | 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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.