Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 21078 | TN |
N | 207X00000X | Orthopaedic Surgeon | E-7432 | AR |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 21078 | TN |
N | 207XS0106X | Orthopaedic Hand Surgeon | E-7432 | AR |
NPI | 1144223256 |
---|---|
Provider Name | Robert J Cole |
First Address | Memphis, TN 38119-5754 |
Second Address | Memphis, TN 38120-4023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000118678 | (05) | MS |
110318002 | (05) | AR |
129321001 | (05) | AR |
200025122 | RAILROAD MEDICARE (01) | TN |
3040325 | BCBS (01) | TN |
3058082 | (05) | TN |
3371161 | (05) | TN |
5826093 | AETNA (01) | TN |
620819926 | AETNA (01) | TN |
620819926 | BCBS (01) | MS |
620819926 | CIGNA (01) | TN |
620819926 | TRICARE (01) | TN |
7187860 | (05) | MS |
8959498 | CIGNA (01) | TN |
F75713 | (02) | TN |