Individual provider Active NPI

William Michael Cochran, M.D.

  • General Practice Physician
  • Green Valley, AZ
National Provider Identifier
1467404319
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15469 Issued in AZ
Practice address
140 W Duval Mine Rd
Suite 106
Green Valley, AZ 85614-5000
Phone
(520) 989-3521
Fax
(520) 989-3522
NPI assigned
May 17, 2006
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15469 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
1003085937OtherTYPE 2, GROUP NPI
15469OtherAZSTATE MEDICAL LICENSE
Z106543OtherAZGRP PIN-BILLING PROVIDER#

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Awareness Center, Inc Past Accepting new patients
William L. Phelps II MD PC PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1467404319",
    "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": {
        "last_name": "COCHRAN",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "15469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2, GROUP NPI",
            "identifier": "1003085937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "15469",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP PIN-BILLING PROVIDER#",
            "identifier": "Z106543",
            "state": "AZ"
        }
    ],
    "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.