Individual provider Active NPI

William Ray Cothern, MD

  • Emergency Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1881993442
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
204557 Issued in LA
Practice address
27005 76TH Ave
New Hyde Park, NY 11040-1402
Phone
(718) 470-7501
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 258481 NY
Emergency Medicine Physician 207P00000X 204557 LA Primary

Addresses

Primary practice location

27005 76TH Ave
New Hyde Park, NY 11040-1402

Mailing address

6561 Saunders St
4T
Rego Park, NY 11374-4252
Phone (337) 296-7448

Other identifiers 2

IdentifierTypeStateIssuer
P00980766OtherLAMEDICARE RAILROAD
2164287MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110923000437 LA Practitioner - Emergency Medicine 0143491167 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Emergency Group LLCGroup PAC ID 4880846427, 25 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2696
Phone (337) 289-7991

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
83.11
Improvement activities
40
Cost
80.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204557LAMDEmergency Medicine Physician
258481NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes After Hours LLC CurrentSince Aug 30, 2011 Accepting new patients
Lourdes After Hours LLC CurrentSince Aug 30, 2011 Accepting new patients
Coolidge Emergency Group LLC Emergency Medicine CurrentSince Jun 5, 2018 Accepting new patients
Opelousas Emergency Group LLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Independence Emergency Group LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Ambassador Emergency Group LLC Emergency Medicine CurrentSince Sep 9, 2011 Accepting new patients

Locations

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Interoperability endpoints

  • Direct secure messaging: wcothern1443429@direct.ochsner.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1881993442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 SAUNDERS ST",
            "address_2": "4T",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744252",
            "telephone_number": "337-296-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402",
            "telephone_number": "718-470-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHERN",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "258481",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "204557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00980766",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164287",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.