Individual provider Active NPI

Paul Chesley Cochran, MD

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1215098017
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12429 Issued in OK
Practice address
141 S Garnett Rd
Tulsa, OK 74128
Phone
(918) 764-9277
Fax
(918) 764-9275
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12429 OK Primary

Addresses

Primary practice location

141 S Garnett Rd
Tulsa, OK 74128

Mailing address

141 S Garnett Rd
Tulsa, OK 74128-1803
Phone (918) 764-9277

Other identifiers 1

IdentifierTypeStateIssuer
Q033197MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000793 OK Practitioner - PsychiatryPractitioner - Family PracticePractitioner - Emergency Medicine 8527961556 Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Emergency Medicine
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 S Garnett Rd
Tulsa, OK 74128-1805
Phone (918) 438-4257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St John Medical Center Inc Past Accepting new patients
MTF Counseling Resources, LLC PastSince Aug 23, 2016 Accepting new patients
Melton Health and Medical Services Past Accepting new patients
Brookhaven Hospital, LLC Past Accepting new patients
Melton Health and Medical Services Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1215098017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281803",
            "telephone_number": "918-764-9277",
            "fax_number": "918-764-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74128",
            "telephone_number": "918-764-9277",
            "fax_number": "918-764-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "PAUL",
        "middle_name": "CHESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "12429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033197",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.