Individual provider Active NPI

Jan D Cochrum, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hurst, TX
National Provider Identifier
1508925546
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
C8926 Issued in TX
Practice address
500 Grapevine Hwy
Ste 106
Hurst, TX 76054-2707
Phone
(817) 514-6271
Fax
(817) 514-6278
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X C8926 TX Primary

Addresses

Primary practice location

500 Grapevine Hwy
Ste 106
Hurst, TX 76054-2707

Mailing address

500 Grapevine Hwy
Ste 106
Hurst, TX 76054-2707
Phone (817) 514-6271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8926TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patheous Medical PLLC Past Accepting new patients
Diagnostex Consultants PLLC PastSince Sep 1, 2015 Accepting new patients
Diagnostex, LLC Past Accepting new patients

Organizations & group practices 3

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1508925546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRAPEVINE HWY",
            "address_2": "STE 106",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542707",
            "telephone_number": "817-514-6271",
            "fax_number": "817-514-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAPEVINE HWY",
            "address_2": "STE 106",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542707",
            "telephone_number": "817-514-6271",
            "fax_number": "817-514-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRUM",
        "first_name": "JAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "C8926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.