Active NPI
John Cochran, MD
- Urology Physician
- West Des Moines, IA
National Provider Identifier
1881705523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD-46379
- Practice address
- 5950 University Ave Ste 341
West Des Moines, IA 50266 - Phone
- (515) 875-9800
- Fax
- (515) 875-9804
- NPI assigned
- Aug 31, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | M-12670 | ID | |
| Urology Physician | 208800000X | MD60515618 | WA | |
| Urology Physician | 208800000X | J5291 | TX | |
| Urology Physician | 208800000X | MD-46379 | IA | Primary |
Addresses
Primary practice location
5950 University Ave Ste 341
West Des Moines, IA 50266
Mailing address
18350 N McLeod Way
Boise, ID 83714-8863
Phone (979) 229-0729
Other practice location 1
2315 8th St
Lewiston, ID 83501-7301
Phone (208) 746-1383
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039604 | Medicaid | WA | |
| 1881705523 | Other | ID | IPN |
| 1881705523 | Other | WA | FCHN |
| 1881705523 | Medicaid | ID | |
| 8G8737 | Other | TX | BLUE CROSS |
| 115421304 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-46379 | IA | MD | Urology Physician |
| J5291 | TX | MD | Urology Physician |
| MD60515618 | WA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1881705523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 N MCLEOD WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837148863",
"telephone_number": "979-229-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE STE 341",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-875-9800",
"fax_number": "515-875-9804"
}
],
"practiceLocations": [
{
"address_1": "2315 8th St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ID",
"postal_code": "835017301",
"country_code": "US",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCHRAN",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ID",
"license": "M-12670",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD60515618",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "J5291",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IA",
"license": "MD-46379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2039604",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IPN",
"identifier": "1881705523",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHN",
"identifier": "1881705523",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881705523",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8G8737",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115421304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.