Provider Demographics
NPI:1346229820
Name:COLE, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:COLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:100 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7057
Mailing Address - Country:US
Mailing Address - Phone:501-321-9292
Mailing Address - Fax:501-623-5541
Practice Address - Street 1:100 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7057
Practice Address - Country:US
Practice Address - Phone:501-321-9292
Practice Address - Fax:501-623-5541
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-8112207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR080193801OtherTRAVELERS MEDICARE
AR485489OtherHEALTHLINK
AR0120284OtherUNITED HEALTH CARE
AR177900000OtherQUALCHOICE
AR5K348OtherBCBS
ARP04392OtherNOVASYS
AR131034001Medicaid
AR5098001OtherAETNA
AR080193801OtherTRAVELERS MEDICARE
AR0120284OtherUNITED HEALTH CARE