Active NPI
Richard K Cochran, MD FCAP
- Anatomic Pathology & Clinical Pathology Physician
- Tempe, AZ
National Provider Identifier
1417050568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 28181
- Practice address
- 1700 N. Desert Drive
Tempe, AZ 85281 - Phone
- (602) 424-1580
- Fax
- (602) 424-1581
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 28181 | AZ | Primary |
Addresses
Primary practice location
1700 N. Desert Drive
Tempe, AZ 85281
Mailing address
PO Box 403751
Atlanta, GA 30384
Phone (602) 424-1580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110667 | Other | NY | GHI |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28181 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bostwick Laboratories, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Glen Allen, VA
- NPI 1124051644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1417050568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403751",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30384",
"telephone_number": "602-424-1580",
"fax_number": "602-424-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N. DESERT DRIVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "602-424-1580",
"fax_number": "602-424-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "RICHARD",
"middle_name": "K",
"credential": "MD FCAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "28181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0110667",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.