MICHAEL C. COLE MD – NPI #1104515857
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

MICHAEL COLE is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1104515857 to MICHAEL COLE on May 08, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 3 years ago on Oct 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL COLE below.

NPI Profile for
MICHAEL C. COLE

NPI Number
1104515857
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL C. COLE
Credentials
MD
Primary location
4030 CHOUTEAU AVE
SAINT LOUIS, MO 63110-1754
Phone: (636) 282-0380 Fax:
1 Other location(s):
120 Boyd St
DE Soto, MO 63020-1702
Phone: (636) 282-0380
Mailing address
1153 E GANNON DR
FESTUS, MO 63028-2611
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
MO 2020033685

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.