Johnlcocchiaramdaprofessionalmedicalcorporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOHNLCOCCHIARAMDAPROFESSIONALMEDICALCORPORATION

Practice address

1739 Ryan St
Lake Charles, LA 70601-6049

Phone

(337) 439-9419

Fax

(337) 491-9577

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

John Lucas Cocchiara, M.D.

Title

General Surgeon

Phone

(337) 439-9419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1871806935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016049",
            "telephone_number": "337-439-9419",
            "fax_number": "337-491-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016049",
            "telephone_number": "337-439-9419",
            "fax_number": "337-491-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNLCOCCHIARAMDAPROFESSIONALMEDICALCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "COCCHIARA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "337-439-9419",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.