Physician Compare National (NPI:1841744331)

HEALTHCARE PROVIDER: JESSICA LEIGH COCHRAN PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841744331
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739476813
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160919001153
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COCHRAN
	Individual professional last name
Provider First Name	JESSICA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MERCER UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DAYTON INTERNAL MEDICINE, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6901075993
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	188 16TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	DAYTON
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373211036
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4237756933
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	441310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RHEA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ERLANGER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y