Ezra Lee Cole
M.D. | Pediatrics | Male
Ezra Lee Cole, M.D. is a Siloam Springs, Arkansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ezra Lee Cole is
1101 N Progress Ave, Siloam Springs, Arkansas - 72761-4343. He can be contacted on phone at
479-549-4228 and fax number 479-549-3711.
Ezra Lee Cole is a sole proprietor of his business.
NPI number (Unique professional ID) for Ezra Lee Cole is
1851617757 which was assigned by NPPES on 16 Apr, 2010 and it was last updated on 13 Feb, 2015.
Ezra Lee Cole license number is
E8536 for Pediatrics (208000000X) in Arkansas.
Ezra Lee Cole is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ezra Lee Cole basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ezra Lee Cole |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Ezra Lee Cole address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1101 N Progress Ave
Siloam Springs, AR, 72761-4343
United States |
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| Phone Number : | 479-549-4228 |
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| Fax Number : | 479-549-3711 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851617757 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Apr, 2010 |
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| Last Updated On : | 13 Feb, 2015 |
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Medicare Participation:
Ezra Lee Cole participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4880826585 |
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| Medicare Enrollment ID : | I20141015000558 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Arkansas College Of Medicine |
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| Graduation Year : | 2010 |
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| Accepts Medicare? | Yes. Ezra Lee Cole accepts medicare insurance. |
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Group Practice Association:
Ezra Lee Cole is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ezra Lee Cole is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Integrated Community Clinics Pa | 2567361165 | 24 | 1101 -2 N Progress Ave
Siloam Springs, AR - 727611374
Ph: 4795494228 | Yes |
| Integrated Community Clinics Pa | 2567361165 | 24 | 609 E Main St
Locust Grove, OK - 743525191
Ph: 9184798060 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ezra Lee Cole are as mentioned. Primary taxonomy code for Ezra Lee Cole, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | E8536 | AR |
| 208000000X | Pediatrics | Yes | E8536 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Ezra Lee Cole such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 203868001 | MEDICAID | AR | |
| 200303500B | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 516
Siloam Springs, AR, 72761-0516
United States |
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| Phone Number : | 479-549-4228 |
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| Fax Number : | 479-549-3711 |
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Business Location:
Patients can refer following map for directions to
Ezra Lee Cole practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.