Individual ProviderKatherine Joyce ColeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710(703) 391-2020PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Joyce Cole does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508850660Provider TypeIndividualFull NameCole, Katherine JoyceCredentialMDGenderFemaleSole ProprietorNoEnumeration Date9/6/2005Last Updated8/22/2011Contact InformationPractice LocationPractice Address3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710Phone(703) 391-2020Fax(703) 391-1211Mailing LocationMailing AddressPO Box 791128, Baltimore, MD 21279-1128Phone(703) 391-2020Fax(703) 391-1211Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101041443VirginiaProvider IdentifiersIDDescriptionIssuerID080182892DescriptionOtherIssuerRR MEDICAREID05602556DescriptionMedicaidIssuerUnlistedVirginia