Individual provider Active NPI

Jeremy Cole, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Edmond, OK
National Provider Identifier
1962586701
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
23251 Issued in OK
Practice address
105 S Bryant Ave
Suite 204B
Edmond, OK 73034-6399
Phone
(405) 844-5200
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 23251 OK
Sleep Medicine (Internal Medicine) Physician 207RS0012X 23251 OK Primary

Addresses

Primary practice location

105 S Bryant Ave
Suite 204B
Edmond, OK 73034-6399

Mailing address

105 S Bryant Ave
Suite 204B
Edmond, OK 73034-6399
Phone (405) 844-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070118000111 OK Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 5698682508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
State University of New York at Buffalo School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1009 N Bryant Ave
Suite 150
Edmond, OK 73034-3259
Phone (405) 844-5200

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23251OKMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextgen Sleep LLC CurrentSince Dec 3, 2017 Accepting new patients
Jeremy Cole MD PLLC Pulmonary Disease CurrentSince Mar 31, 2003 Accepting new patients
Sleep Disorder Centers, Inc Sleep Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1009 N Bryant Ave
Ste 150
Edmond, OK 73034
Phone (405) 844-5200

105 S Bryant Ave
Ste 204B
Edmond, OK 73034
Phone (405) 844-5200

3418 NW 135th St
Oklahoma City, OK 73120
Phone (405) 286-1075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8213/brand/3/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1962586701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE",
            "address_2": "SUITE 204B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346399",
            "telephone_number": "405-844-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE",
            "address_2": "SUITE 204B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346399",
            "telephone_number": "405-844-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "23251",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OK",
            "license": "23251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.