JERRY JAY COLE (NPI# 1720192388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720192388 |
| Entity Type | Individual |
| Full Name | JERRY JAY COLE |
| Credential | DO |
| Practice Address |
1200 W Cherokee St Wagoner OK 74467-4624 |
| Mailing Address |
1202 W Cherokee St Suite F Wagoner OK 74467-4629 |
| Practice Telephone | 9184851393 |
| Mailing Telephone | 9184851393 |
| Mailing Fax Number | 9184851305 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 845 | ME | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | OS7100 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 30805 | MO | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 3922 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100109640A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407078538 | Jerry Kevin Cole | Dentist | 305 W Idaho St, Boise, ID 83702 | 2007-05-02 |
| 1437178365 | Jerry Daniel Cole | Pharmacist | 16854 Ivy Ave, Suite C, Fontana, CA 92335 | 2006-07-19 |
| Street Address |
1200 W CHEROKEE ST |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660896 | Shalini Sangal | Psychiatry & Neurology | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2005-09-22 |
| 1205457850 | Jeremy Landsaw | Pharmacist | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2020-05-05 |
| 1164074472 | Tabatha Truelove | Nurse Practitioner | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2019-07-16 |
| 1245662550 | Jace Evan Sharp | Physical Therapist | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2013-08-08 |
| 1225208960 | Toni Jones | Physician Assistant | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2008-03-10 |
| 1982818811 | Michael D Clark | Physical Therapist | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2007-05-09 |
| 1780604405 | John P Perry | Emergency Medicine | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2006-07-19 |
| 1750301479 | William J Guthrie | Emergency Medicine | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2006-07-19 |
| 1386611580 | Wagoner Hospital Authority | General Acute Care Hospital | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2006-03-07 |
| 1356332886 | Jeff S. Jennings, Do, Pllc | Radiology | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564343 | Murray State College | Orthopaedic Surgery | 1 Murray Campus St, Tishomingo, OK 73460-3137 | 2020-10-05 |
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1942703665 | Northeast Oklahoma Spine and Sports LLC | Orthopaedic Surgery | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2018-03-09 |
| 1194262097 | Essential Integrative Health Pllc | Orthopaedic Surgery | 9060 Harmony Dr Ste B, Midwest City, OK 73130-6253 | 2017-01-30 |
| 1679023170 | Bobby Doyce Anthony | Orthopaedic Surgery | 2026 S Walking Trail Dr, Stillwater, OK 74074-1358 | 2016-10-07 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1306211982 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 | 2015-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.