JONATHAN KING COLE (NPI# 1811001647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811001647 |
| Entity Type | Individual |
| Full Name | JONATHAN KING COLE |
| Credential | D.M.D. |
| Practice Address |
190 W Park Ave Ste 4 Du Bois PA 15801-2277 |
| Mailing Address |
318 Hillcrest Dr Du Bois PA 15801-2342 |
| Practice Telephone | 8143757515 |
| Practice Fax Number | 8143751270 |
| Mailing Telephone | 8143758990 |
| Mailing Fax Number | 8143710290 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS024511L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INSURANCE PROVIDER ID | 112780 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104804160 | Jonathan Raymond Cole | Chiropractor | 803 Adam Dr, Chillicothe, MO 64601-3901 | 2006-01-09 |
| 1285129585 | Jonathan Cole | Community Health Worker | 2490 Lee Blvd, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1629350269 | Jonathan Chadwick Cole | Psychiatry & Neurology | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2011-09-09 |
| 1629364872 | Jonathan H Cole | Physical Therapist | 111 Central Park Ave, Suite E, Pinehurst, NC 28374-8726 | 2011-06-27 |
| 1700925997 | Jonathan Ross Cole | Internal Medicine | 9675 Brighton Way, Suite 290, Beverly Hills, CA 90210-5100 | 2007-02-05 |
| 1669573770 | Jonathan David Cole | Psychologist | 2560 Richmond Rd, Suite 102, Lexington, KY 40509-1769 | 2006-09-25 |
| 1285676080 | Jonathan T Cole | Nurse Practitioner | 222 22nd Ave N, Nashville, TN 37203-1852 | 2006-06-13 |
| 1952342529 | Jonathan B. Cole | Internal Medicine | 124a South University Blvd., Mobile, AL 36608 | 2006-06-08 |
| Street Address |
190 W PARK AVE STE 4 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598161804 | Sayuri Smith | Dentist | 190 W Park Ave Ste 4, Du Bois, PA 15801 | 2014-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
| 1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
| 1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
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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.