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RANDALL D COBBLE PAC
NPI 1225074107
Physician Assistant - Medical in Richland, WA

Active since June 21, 2006PECOS Enrolled
550 GAGE BLVD, RICHLAND, WA 99352(509) 946-7646(509) 946-7666 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2018, Mar 29, 2016 (2 updates tracked since 2016).

About Randall D Cobble Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL D COBBLE PAC (NPI 1225074107) is an individual medical provider in Richland, Washington, licensed in Washington (PA10003668) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1225074107
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRANDALL D COBBLECredential: PAC
Location Address550 GAGE BLVDRichland, WA 99352-9532
Mailing Address310 Torbett StRichland, WA 99354-2604 · (509) 946-7646 · Fax (509) 946-7666
Phone(509) 946-7646
Fax(509) 946-7666
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateDecember 21, 20182 updates tracked since enumeration
✔ NPI 1225074107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10003668
550 GAGE BLVD, Richland, WA 99352
Open in Google Maps ↗

Secondary Practice Location 1

Location 1310 Torbett StRichland, WA 99354-2604 · Phone (509) 946-7646 · Fax (509) 946-7666

Other Identifiers 1

Medicaid1005315WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall D Cobble Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY L COTE DO
Family Medicine
550 GAGE BLVD, SUITE 2
RICHLAND, WA 99352
Benton County (509) 628-1362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Cobble's NPI number?

The NPI number for Randall Cobble is 1225074107. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Randall Cobble located?

Randall Cobble practices at 550 Gage Blvd, Richland, WA 99352. The listed phone number is (509) 946-7646.

What is Randall Cobble's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Randall Cobble enrolled in Medicare?

Yes. Randall Cobble is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Cobble was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.