Provider Demographics
NPI:1598913980
Name:ROCHON, PAUL (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:ROCHON
Suffix:
Gender:M
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:PO BOX 1428
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-1428
Mailing Address - Country:US
Mailing Address - Phone:844-466-5613
Mailing Address - Fax:419-223-2726
Practice Address - Street 1:9441 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-5426
Practice Address - Country:US
Practice Address - Phone:719-415-3092
Practice Address - Fax:719-545-1829
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1920872085R0202X
OH35C.0008532085R0202X
FLME1626902085R0204X
CO491662085R0204X
NMMD2022-13062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0024389Medicaid
NM38873320Medicaid
CO55904068Medicaid
CA1598913980Medicaid