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

Jeffrey M. Cothran, PA

Individual provider Physician Assistant · NPI 1508882689

Jeffrey M. Cothran, PA is a Physician Assistant in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5111
Fax: (248) 964-5068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002321 (MI)

Record details

NPI number1508882689
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

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