Individual provider Active NPI

Jared J Kocher, MD

  • Family Medicine Physician
  • Fort Branch, IN
National Provider Identifier
1346299724
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01071228A Issued in IN
Practice address
802 E Oak St
Fort Branch, IN 47648-1666
Phone
(812) 753-3942
Fax
(812) 768-6283
NPI assigned
May 10, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01071228A IN Primary

Addresses

Primary practice location

802 E Oak St
Fort Branch, IN 47648-1666

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 753-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050113001034 IN Practitioner - Family Practice 2365491636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

802 E Oak St
Fort Branch, IN 47648-1666
Phone (812) 753-3942

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071228AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. CurrentSince Sep 29, 2015 Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Sep 29, 2015 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Cross Pointe Past Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients
Deaconess Cross Pointe Center, LLC Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

802 E Oak St
Fort Branch, IN 47648
Phone (812) 753-3942

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: jkocher32651@direct.deaconess.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1346299724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-753-3942",
            "fax_number": "812-768-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E OAK ST",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476481666",
            "telephone_number": "812-753-3942",
            "fax_number": "812-768-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHER",
        "first_name": "JARED",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01071228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Branch, IN

Sources for this page

Verify at the official NPI Registry.