Individual provider Active NPI

Steve Cole, M.D.

  • Allergy Physician
  • Memphis, TN
National Provider Identifier
1952415424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD0000015712 Issued in TN
Practice address
1750 Madison Ave Ste 210
Memphis, TN 38104-6428
Phone
(901) 726-4055
Fax
(901) 726-4887
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

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
Allergy Physician 207KA0200X MD0000015712 TN Primary

Addresses

Primary practice location

1750 Madison Ave Ste 210
Memphis, TN 38104-6428

Mailing address

1750 Madison Ave Ste 210
Memphis, TN 38104-6428
Phone (901) 726-4055

Other identifiers 1

IdentifierTypeStateIssuer
3025394MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111208000173 TN Practitioner - Allergy/Immunology 1951576669 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Stanford University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1750 Madison Ave
Suite 210
Memphis, TN 38104-6428
Phone (901) 726-4055

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952415424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046428",
            "telephone_number": "901-726-4055",
            "fax_number": "901-726-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046428",
            "telephone_number": "901-726-4055",
            "fax_number": "901-726-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TN",
            "license": "MD0000015712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025394",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.