Individual provider Active NPI

Ronald Jay Cochran, MD

  • Dermatology Physician
  • El Campo, TX
National Provider Identifier
1407899875
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F1461 Issued in TX
Practice address
1918 West Loop
El Campo, TX 77437
Phone
(979) 543-1800
Fax
(979) 543-5931
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X F1461 TX Primary

Addresses

Primary practice location

1918 West Loop
El Campo, TX 77437

Mailing address

1918 West Loop
El Campo, TX 77437
Phone (979) 543-1800

Other identifiers 1

IdentifierTypeStateIssuer
098823001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111207000670 TX Practitioner - Dermatology 2163697848 Practice locations: El Campo, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1461TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients

Organizations & group practices 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1407899875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 WEST LOOP",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "77437",
            "telephone_number": "979-543-1800",
            "fax_number": "979-543-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 WEST LOOP",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "77437",
            "telephone_number": "979-543-1800",
            "fax_number": "979-543-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "RONALD",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F1461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098823001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

Verify at the official NPI Registry.