Organization Active NPI

Kochert Pain Institute LLC

  • Custodial Care Facility
  • Lafayette, IN
National Provider Identifier
1134519283
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
01031275A Issued in IN
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

Updated by the provider on Jan 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Kochert, MDNPI 1306815915
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1014028Kochert Pain Institute3218 Daugherty Dr, Ste 110, Lafayette, IN 47909Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.