Individual provider Active NPI

Joseph Gregory Coles, M.D.

  • Psychiatry Physician
  • Fe Warren Afb, WY
National Provider Identifier
1952407926
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.091643 Issued in OH
Practice address
90TH MDG
6900 Alden Dr
Fe Warren Afb, WY 82005
Phone
(307) 773-2998
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.091643 OH Primary

Addresses

Primary practice location

90TH MDG
6900 Alden Dr
Fe Warren Afb, WY 82005

Mailing address

90 MDG
6900 Alden Dr.
Fe Warren Afb, WY 82001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1952407926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MDG",
            "address_2": "6900 ALDEN DR.",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "82001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90TH MDG",
            "address_2": "6900 ALDEN DR",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "82005",
            "telephone_number": "307-773-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "JOSEPH",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-09-06",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.091643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fe Warren Afb, WY

Sources for this page

Verify at the official NPI Registry.