Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Tyler Cochrane, DO

Individual provider Pediatrics Physician · NPI 1629506159

Dr. John Tyler Cochrane, DO is a Pediatrics Physician in Grand Rapids, Michigan. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

721 Kenmoor Ave SE
Grand Rapids, MI 49546-2306
Phone: (616) 949-6112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1865 Georgetown Center Dr Ste A, Jenison, MI 49428-7146 — (616) 457-3510

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125070708 (IL)

Record details

NPI number1629506159
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 29, 2017
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address721 Kenmoor Ave Se, Grand Rapids, MI 49546-2306

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