Organization Active NPI

WM Michael Cochran MD PLLC

  • General Practice Physician
  • Green Valley, AZ
National Provider Identifier
1003085937
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AZ15469 Issued in AZ
Legal business name
WM MICHAEL COCHRAN MD PLLC
Practice address
140 W Duval Mine Rd
Suite 106
Green Valley, AZ 85614-5000
Phone
(520) 989-3521
Fax
(520) 989-3522
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beth Cochran
Title
RN, Office Manager
Phone
(520) 989-3521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X AZ15469 AZ Primary

Addresses

Primary practice location

140 W Duval Mine Rd
Suite 106
Green Valley, AZ 85614-5000

Mailing address

4050 N Circulo Manzanillo
Tucson, AZ 85750-1879
Phone (520) 989-3521

Other identifiers 3

IdentifierTypeStateIssuer
Z106726OtherMEDICARE INDIVIDUAL PIN
AZ15469OtherAZSTATE LICENSE NUMBER
1467404319OtherTYPE I NPI

National Provider Directory

National Provider Directory

Locations

140 W Duval Mine Rd
Ste 106
Green Valley, AZ 85614
Phone (520) 818-8477

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1003085937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 N CIRCULO MANZANILLO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501879",
            "telephone_number": "520-989-3521",
            "fax_number": "520-989-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W DUVAL MINE RD",
            "address_2": "SUITE 106",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145000",
            "telephone_number": "520-989-3521",
            "fax_number": "520-989-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM MICHAEL COCHRAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "RN, OFFICE MANAGER",
        "authorized_official_telephone_number": "520-989-3521"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "AZ15469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "Z106726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AZ15469",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I  NPI",
            "identifier": "1467404319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.