Active NPI
Kochert Pain Institute LLC
- Custodial Care Facility
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 01031275A
- Legal business name
- KOCHERT PAIN INSTITUTE LLC
- Practice address
- 3218 Daugherty Dr
Suite 110
Lafayette, IN 47909-3997 - Phone
- (765) 446-5055
- Fax
- (765) 446-5057
- NPI assigned
- Jan 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Kochert, MD
- Title
- Physician
- Phone
- (765) 446-5055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 01031275A | IN | Primary |
Addresses
Primary practice location
3218 Daugherty Dr
Suite 110
Lafayette, IN 47909-3997
Mailing address
3218 Daugherty Dr
Suite 110
Lafayette, IN 47909-3997
Phone (765) 446-5055
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D1014028 | Kochert Pain Institute | Certificate of waiver | Aug 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
3218 Daugherty Dr
Ste 110
Lafayette, IN 47909
Phone (765) 446-5055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lafayette, IN
- NPI 1306815915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422403200000",
"number": "1134519283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 DAUGHERTY DR",
"address_2": "SUITE 110",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479093997",
"telephone_number": "765-446-5055",
"fax_number": "765-446-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 DAUGHERTY DR",
"address_2": "SUITE 110",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479093997",
"telephone_number": "765-446-5055",
"fax_number": "765-446-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOCHERT PAIN INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-28",
"last_updated": "2015-01-28",
"status": "A",
"authorized_official_last_name": "KOCHERT",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "765-446-5055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "IN",
"license": "01031275A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.