Active NPI
Richard P Cochran, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MS
National Provider Identifier
1013996586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 24699
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (406) 640-4933
- NPI assigned
- Jan 12, 2006
- Last updated
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 042-0014399 | VT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 67287 | GA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 45230 | KY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 32997 | MT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 24699 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5452
Other practice location 1
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09954520 | Medicaid | MS | |
| 62993301 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45230 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 32997 | MT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 042-0014399 | VT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turned Leaf Psychiatry LLC | Current | Accepting new patients | |
| St Francis Physician Services Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| West Florida Cardiology Physicians, LLC | Past | Accepting new patients | |
| Heart Surgery Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
745 Avignon Dr
Ste C
Ridgeland, MS 39157
Phone (601) 540-3520
Networks
- FL HMO
- FL PPO
Interoperability endpoints
- rcochran73889@ummc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Ridgeland, MS
- NPI 1437043403
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tallahassee, FL
- NPI 1861402711
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Pensacola, FL
- NPI 1346503398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1013996586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5452",
"fax_number": "601-815-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "406-640-4933"
}
],
"practiceLocations": [
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCHRAN",
"first_name": "RICHARD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "VT",
"license": "042-0014399",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "67287",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "45230",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MT",
"license": "32997",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MS",
"license": "24699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09954520",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62993301",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.