Active NPI
Kochert Pain Institute, LLC
- Interventional Pain Medicine Physician
- Lafayette, IN
National Provider Identifier
1639325954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- IN01031275A
- Legal business name
- KOCHERT PAIN INSTITUTE, LLC
- Practice address
- 1345 Unity PL
Suite 225
Lafayette, IN 47905-5760 - Phone
- (765) 446-5055
- Fax
- (765) 446-5057
- NPI assigned
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carolyn G. Kochert, M.D.
- Title
- Physician
- Phone
- (765) 446-5055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | IN01031275A | IN | Primary |
Addresses
Primary practice location
1345 Unity PL
Suite 225
Lafayette, IN 47905-5760
Mailing address
1345 Unity PL
Suite 225
Lafayette, IN 47905-5760
Phone (765) 446-5055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000585032 | Other | IN | ANTHEM PIN |
| 000000585032 | Other | IN | APIN |
National Provider Directory
National Provider DirectoryLocations
1345 Unity Pl
Ste 225
Lafayette, IN 47905
Phone (765) 449-2436
3218 Daugherty Dr
Ste 11
Lafayette, IN 47909
Phone (765) 446-5055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248048000000",
"number": "1639325954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 UNITY PL",
"address_2": "SUITE 225",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055760",
"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": "1345 UNITY PL",
"address_2": "SUITE 225",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055760",
"telephone_number": "765-446-5055",
"fax_number": "765-446-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOCHERT PAIN INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2009-07-20",
"status": "A",
"authorized_official_last_name": "KOCHERT",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "765-446-5055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IN",
"license": "IN01031275A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000585032",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APIN",
"identifier": "000000585032",
"state": "IN"
}
],
"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 Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.