Organization Active NPI

Kochert Pain Institute, LLC

  • Interventional Pain Medicine Physician
  • Lafayette, IN
National Provider Identifier
1639325954
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
IN01031275A Issued in IN
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

Updated by the provider on Jul 20, 2009

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000585032OtherINANTHEM PIN
000000585032OtherINAPIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.