Individual provider Active NPI

Tom L Cobian, LMP

  • Specialist
  • Seattle, WA
National Provider Identifier
1194032151
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00005370 Issued in WA
Practice address
2422 E Louisa St
Seattle, WA 98112-2234
Phone
(206) 669-4190
NPI assigned
Sep 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00005370 WA Primary

Addresses

Primary practice location

2422 E Louisa St
Seattle, WA 98112-2234

Mailing address

2422 E Louisa St
Seattle, WA 98112-2234
Phone (206) 669-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00005370WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1194032151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 E LOUISA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122234",
            "telephone_number": "206-669-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 E LOUISA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122234",
            "telephone_number": "206-669-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBIAN",
        "first_name": "TOM",
        "middle_name": "L",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00005370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.