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Physician Compare National (NPI:1629181359)

HEALTHCARE PROVIDER: MEL COLE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1629181359
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9436287158
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100517000381
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name COLE
Individual professional last name
Provider First Name MELVIN
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 VASCULAR SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties VASCULAR SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1105 W FRANK AVE
Group Practice or individual's line 1 address
Line 2 Street Address 260 MELVIN S COLE MD
Group Practice or individual's line 2 address
City LUFKIN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 759043340
Group Practice or individual's zip code (9 digits when available)
Phone Number 9366391740
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450395
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MEMORIAL MEDICAL CENTER LIVINGSTON
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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