Provider Demographics
NPI:1427059005
Name:COCHRAN, MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 RESEARCH PL
Mailing Address - Street 2:SUITE 320
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2454
Mailing Address - Country:US
Mailing Address - Phone:978-256-1858
Mailing Address - Fax:978-788-7890
Practice Address - Street 1:20 RESEARCH PL
Practice Address - Street 2:SUITE 320
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2454
Practice Address - Country:US
Practice Address - Phone:978-256-1858
Practice Address - Fax:978-788-7890
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAH28005174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0025775OtherNEIGHBORHOOD HEALTH PLAN
MA1427059005OtherHEALTH PLANS INC
MA204926OtherMEDICAL LICENSE
MA1427059005OtherBMC HEALTH NET
MA65092OtherFALLON
MA978694OtherNETWORK
MAJ22976OtherBCBS
MA1427059005OtherCIGNA
MA1427059005OtherHEALTH PARTNERS
MA0122459Medicaid
MA1427059005OtherGREAT WEST
MA204926OtherTUFTS
MA1427059005OtherCHAMPUS/TRICARE
MA2636922OtherATHENA/US HEALTHCARE
MAJ22976OtherPREFERRED CARE NY
MA0005394OtherMEDICARE RAILROAD
MA1427059005OtherPREFERRED CARE NY
MAAA116929OtherHPHC
MA1427059005OtherGREAT WEST
MA1427059005OtherCIGNA