Provider Demographics
NPI:1821069915
Name:HOCKMAN, JAY A (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:A
Last Name:HOCKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70101
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40270-0101
Mailing Address - Country:US
Mailing Address - Phone:812-945-3916
Mailing Address - Fax:812-944-3404
Practice Address - Street 1:1850 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4990
Practice Address - Country:US
Practice Address - Phone:812-944-7701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01050894A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000223107OtherINDIANA COMPREHENSIVE
IN000000223107OtherONE NATION BENEFIT
IN000000223107OtherUNICARE
IN000000223107OtherHEALTHLINK
IN2445019000OtherPASSPORT ADVANTAGE
KY000000223107OtherANTHEM
IN134960EOtherUNICARE MEDICARE
IN000000223107OtherANTHEM MEDICAID
IN000000223107OtherANTHEM
IN000000223107OtherANTHEM SENIOR ADVANTAGE
INH62417Medicare UPIN
IN000000223107OtherANTHEM SENIOR ADVANTAGE