| Stephanie Joy Cole, DO | |
|
1135 Professional Dr, Goshen, IN 46526-3800 | |
| (574) 364-4600 | |
| (574) 364-4610 |
| Full Name | Stephanie Joy Cole |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1135 Professional Dr, Goshen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922238666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 02009259A (Indiana) | Primary |
| Entity Name | Mclaren Bay Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508131087 PECOS PAC ID: 5597659011 Enrollment ID: O20040213000277 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Entity Name | Vhs Physicians of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Joy Cole, DO 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-2888 | Stephanie Joy Cole, DO 1135 Professional Dr, Goshen, IN 46526-3800 Ph: (574) 364-4600 |
Winston C Gerig, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |
Nathaniel T Dew, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |
Denise C Murphy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |
Daniel A Diener, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |
Jon E Smucker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Marilyn Ave, Suite 4, Goshen, IN 46526 Phone: 574-533-2769 Fax: 574-534-6822 |
John W Harley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Marilyn Ave, Suite 4, Goshen, IN 46526 Phone: 574-533-2769 Fax: 574-534-6822 |
Dr. Levi Smucker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St Ste A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |