Cole v. State Med. Bd.

CourtOhio Court of Appeals
DecidedJune 30, 2026
Docket25AP-948
StatusPublished

This text of Cole v. State Med. Bd. (Cole v. State Med. Bd.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cole v. State Med. Bd., (Ohio Ct. App. 2026).

Opinion

[Cite as Cole v. State Med. Bd., 2026-Ohio-2502.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

James C. Cole, M.D., :

Appellant-Appellant, : No. 25AP-948 v. : (C.P.C. No. 25CV-2675)

State Medical Board of Ohio, : (REGULAR CALENDAR)

Appellee-Appellee. :

D E C I S I O N

Rendered on June 30, 2026

On brief: James C. Cole, M.D., pro se.

On brief: [Andy Wilson], Attorney General, Michael J. Seidensticker, and D. Grant Wilson, for appellee. Argued: Michael J. Seidensticker.

APPEAL from the Franklin County Court of Common Pleas

EDELSTEIN, J. {¶ 1} Appellant, James C. Cole, M.D., appeals from the November 10, 2025 judgment of the Franklin County Court of Common Pleas affirming an order of appellee, State Medical Board of Ohio (“Board” or “Ohio Board”), imposing a non-permanent revocation of Dr. Cole’s license to practice medicine in Ohio. For the following reasons, we affirm. I. FACTS AND PROCEDURAL OVERVIEW {¶ 2} Dr. Cole is an anesthesiologist currently licensed to practice medicine in multiple states, including Ohio, Florida, Alaska, and Hawaii. In a July 10, 2024 letter, the Ohio Board notified Dr. Cole that it intended to take disciplinary action against him pursuant to R.C. 4731.22(B)(22) based on a prior Florida disciplinary action. Specifically, the Ohio Board alleged Dr. Cole had entered into a consent agreement and order, effective No. 25AP-948 2

May 6, 2024, with the Florida State Board of Medicine (“Florida Board”) wherein the Florida Board reprimanded Dr. Cole and permanently restricted Dr. Cole from prescribing, ordering, and/or delegating the prescribing or ordering of any controlled substances listed in Schedules I through IV (the “Florida Final Order”)1—with the exception, we note, that Dr. Cole may administer such controlled substances in his capacity as an anesthesiologist.2 This discipline stemmed from Dr. Cole’s treatment of five patients for chronic pain between 2008 and 2012 in Florida. The Florida Board alleged Dr. Cole failed to keep complete medication records, failed to develop treatment plans, inappropriately prescribed narcotics and other controlled substances, failed to adequately monitor his patients’ use of the medications, failed to perform physical examinations, and failed to consult with specialists. Dr. Cole made no admissions or denials of these allegations but nonetheless entered into the consent agreement and order. {¶ 3} Dr. Cole requested and received an adjudicatory hearing on the Ohio Board’s notice. After the hearing, the presiding hearing examiner issued a report and recommendation on January 17, 2025 in which she concluded the evidence submitted at the hearing proved Dr. Cole had entered into the Florida Final Order. The hearing examiner noted the Florida disciplinary action involved conduct that occurred between 2008 and 2012, was commenced through a complaint filed in 2017, and was resolved in 2024. The hearing examiner observed that Dr. Cole has been practicing as an anesthesiologist without any other licensure actions and opined that “a suspension or revocation does not appear necessary to protect the public” since “the conduct underlying the Florida Final Order took place more than a decade ago.” (Jan. 17, 2025 Report and Recommendation at 4.) Thus, although finding Dr. Cole’s conduct warranted discipline under R.C. 4731.22(B)(22), the hearing examiner recommended the Ohio Board “reprimand Dr. Cole, permanently restrict his ability to prescribe controlled substances except in his capacity as an anesthesiologist, and place him on probation for at least one year during which he will be required to complete a medical records course and keep the

1 The Florida Final Order also fined Dr. Cole $25,000, assessed costs of $15,711.88, and required him to take

courses in risk management and medical record keeping.

2 The Ohio Board’s July 10, 2024 notice letter did not state that the Florida Final Order allowed Dr. Cole to

administer controlled substances in his capacity as an anesthesiologist while prohibiting him from utilizing them in any other setting. (See Jan. 17, 2025 Report and Recommendation at 4.) No. 25AP-948 3

[Ohio] Board informed of any other board’s actions or any changes to the Florida Final Order.” (Jan. 17, 2025 Report and Recommendation at 4.) {¶ 4} The Ohio Board heard Dr. Cole’s matter at its February 12, 2025 public meeting. Neither Dr. Cole nor an attorney representing him were present. Following comments by an assistant attorney general, the Ohio Board expressed concerns about Dr. Cole’s continued refusal to accept responsibility or to admit he did anything wrong. (See Feb. 12, 2025 Board Meeting Minutes at 5-6.) The Ohio Board also observed that the allegations in the Florida case implied Dr. Cole “had been operating a practice similar to a pill mill” which, if true, would have likely resulted in more severe terms had the Ohio Board “been able to conduct an investigation” given the Ohio Board’s history with prescribing cases in Ohio. (See Feb. 12, 2025 Board Meeting Minutes at 5-6.) Notably, after learning of the Florida Board’s complaint against Dr. Cole in 2017, the Ohio Board opened an investigation into Dr. Cole’s treatment of the five Florida patients in 2019. (See Sept. 25, 2024 Hrg. Tr. at 8, 21-23.) However, because it was “very difficult to investigate out-of- state care for various legal reasons,” the Ohio Board decided to wait for the Florida Board to complete its investigation before determining whether to take action against Dr. Cole in Ohio. (See Feb. 12, 2025 Board Meeting Minutes at 5.) Ultimately, the Ohio Board found the Florida Final Order offered little detail on the actual treatment provided by Dr. Cole, such that more information was needed in this case. (See Feb. 12, 2025 Board Meeting Minutes at 6-7.) As such, the Ohio Board voted to amend the hearing examiner’s proposed order to non-permanently revoke Dr. Cole’s license so “Dr. Cole would be able to reapply for another license, which would likely trigger another hearing and give Dr. Cole an opportunity to come forward with facts and make a case as to why he should be granted another license in Ohio.” (See Feb. 12, 2025 Board Meeting Minutes at 6-7.) Accordingly, the Ohio Board entered an order on February 25, 2025 approving and confirming the hearing examiner’s findings of fact and conclusions of law with the modification that Dr. Cole’s license to practice medicine and surgery in the State of Ohio be non-permanently revoked. No. 25AP-948 4

{¶ 5} It is undisputed Dr. Cole was served with the February 25, 2025 order on March 17, 2025.3 Pursuant to R.C. 119.12(D), Dr. Cole was required to file notices of appeal with the Ohio Board and the court of common pleas within 15 days after he received notice of the Board’s order—i.e., by April 1, 2025. {¶ 6} On March 27, 2025, Dr. Cole sent the following e-mail to the Ohio Board:

(Apr. 18, 2025 Mot. to Dismiss, Ex. C.)

3 The Ohio Board attempted to serve Dr. Cole with the order on February 25, 2025, but was unsuccessful due

to a transposition error by the Board in inputting his email address. No. 25AP-948 5

{¶ 7} Six days later, on April 2, 2025, Dr. Cole filed the following notice of appeal with the Franklin County Court of Common Pleas: No. 25AP-948 6

{¶ 8} The Ohio Board moved to dismiss Dr. Cole’s administrative appeal, arguing the trial court lacked subject-matter jurisdiction over the case. Specifically, the Board contended Dr. Cole did not timely file his notices of appeal with the Board and the court, as his notice of appeal was filed with the trial court one day after the 15-day appeal period prescribed in R.C. 119.12(D) expired.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Webster v. Reproductive Health Services
492 U.S. 490 (Supreme Court, 1989)
Pankey v. Ohio Dept. of Rehab. & Corr.
2014 Ohio 2907 (Ohio Court of Appeals, 2014)
Tonti v. Tonti, 06ap-732 (5-31-2007)
2007 Ohio 2658 (Ohio Court of Appeals, 2007)
Bond v. Village of Canal Winchester, 07ap-556 (3-6-2008)
2008 Ohio 945 (Ohio Court of Appeals, 2008)
State Ex Rel. Petro v. Gold
850 N.E.2d 1218 (Ohio Court of Appeals, 2006)
Whitehall v. Ruckman, 07ap-445 (12-18-2007)
2007 Ohio 6780 (Ohio Court of Appeals, 2007)
State v. Dunlap, Unpublished Decision (12-20-2005)
2005 Ohio 6754 (Ohio Court of Appeals, 2005)
In Re Estate of Taris, Unpublished Decision (3-31-2005)
2005 Ohio 1516 (Ohio Court of Appeals, 2005)
Hulbert v. Buehrer
2017 Ohio 844 (Ohio Court of Appeals, 2017)
State v. Henderson (Slip Opinion)
2020 Ohio 4784 (Ohio Supreme Court, 2020)
Morrison v. Steiner
290 N.E.2d 841 (Ohio Supreme Court, 1972)
Sun Refining & Marketing Co. v. Brennan
511 N.E.2d 112 (Ohio Supreme Court, 1987)
State ex rel. Tubbs Jones v. Suster
701 N.E.2d 1002 (Ohio Supreme Court, 1998)
Temethy v. Dept. Job & Family Servs.
2026 Ohio 930 (Ohio Court of Appeals, 2026)

Cite This Page — Counsel Stack

Bluebook (online)
Cole v. State Med. Bd., Counsel Stack Legal Research, https://law.counselstack.com/opinion/cole-v-state-med-bd-ohioctapp-2026.