Terence A Cochran, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD016183E Issued in PA

Practice address

103 Squirrel Run
Clarks Green, PA 18411-8960

Phone

(570) 587-3703

Fax

(570) 585-8132

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Vascular Diagnostic Center PC

  dba Chartered Vascular Diagnostic Inc

  • Vascular & Interventional Radiology Physician
  • Clarks Green, PA
  • NPI 1558784538
  Authorized official Same address or phone

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1619902517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SQUIRREL RUN",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184118960",
            "telephone_number": "570-587-3703",
            "fax_number": "570-585-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SQUIRREL RUN",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184118960",
            "telephone_number": "570-587-3703",
            "fax_number": "570-585-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "TERENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD016183E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310011525440003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Bognatz
• Adrianna Borkowski
• Brightway Medical PC
• Vincent Carolan, MA, CAADC, LPC
• Nicholas Chupick, PTA
• Kimberly June Conaboy
• Colleen Contrisciane, LPC
• Diagnostic Imaging Centers of Nepa, LLC (Advanced Imaging Specialists)
• Jessica Failing
• Mariah Ford

• Vascular Surgery Physician in Clarks Green, PA
• Providers in Clarks Green, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.