MEDICARE: ROBERT M COCHRAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	12330	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01444	OTHER	NE	BCBS NE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013946318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M COCHRAN M.D.

Provider Business Mailing Address
First Line	:	11819 MIRACLE HILLS DR STE 203
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-4428
Country	:	US
Telephone Number	:	402-492-9922
Fax Number	:	402-492-9944

Provider Business Practice Location Address
First Line	:	11819 MIRACLE HILLS DR STE 203
Second Line	:	SUITE 203
City	:	OMAHA
State	:	NE
Zip	:	68154-4428
Country	:	US
Telephone Number	:	402-492-9922
Fax Number	:	402-492-9944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	12/04/2007

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