DR. STEPHEN DUANE COCHRAN (NPI# 1639331382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639331382 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN DUANE COCHRAN |
| Credential | DMD |
| Practice Address |
8355 Bayberry Rd Jacksonville FL 32256-4427 |
| Practice Telephone | 9047337254 |
| Practice Fax Number | 9047310144 |
| Mailing Telephone | 9047337254 |
| Mailing Fax Number | 9047310144 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN12667 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 074269400 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 69399 | 01 |
| GA | 00583877A | 05 | |
| FL | UNITED CONCORDIA | 825658 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174824957 | Stephen M Cochran | Pharmacist | 1645 140th Ave Ne, Bellevue, WA 98005-2320 | 2010-11-09 |
| 1396918066 | Stephen Edward Cochran | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2008-04-02 |
| 1326188772 | Stephen R Cochran | Psychiatry & Neurology | 1426 Amelia St, New Orleans, LA 70115-3622 | 2007-02-07 |
| 1144237306 | Stephen Cochran | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-08-01 |
| Street Address |
8355 BAYBERRY RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871755512 | Barry Philip Setzer | Dentist | 8355 Bayberry Rd, Jacksonville, FL 32256-4427 | 2008-06-25 |
| 1023270782 | Karen Ann Hubbard | Dentist | 8355 Bayberry Rd, Jacksonville, FL 32256-4427 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558701177 | Richard W Blake Dds Pa | Dentist | 943 Cesery Blvd Ste D, Jacksonville, FL 32211-5655 | 2013-06-27 |
| 1336405315 | Matthew Allen Swan | Dentist | 3714 Heath Rd Fl 32277, Jacksonville, FL 32277-2045 | 2012-04-04 |
| 1215208947 | Culberson R Boren Dds | Dentist | 1634 S Jackson St, Jacksonville, TX 75766-3028 | 2012-01-26 |
| 1871755512 | Barry Philip Setzer | Dentist | 8355 Bayberry Rd, Jacksonville, FL 32256-4427 | 2008-06-25 |
| 1639370216 | Thomas Arch Pribisco | Dentist | 10822 Saint Augustine Rd, Jacksonville, FL 32257-1154 | 2007-05-30 |
| 1932317922 | Jodi Eve Mason | Dentist | 2008 Riverside Ave, Suite 101, Jacksonville, FL 32204-4443 | 2007-05-21 |
| 1679606768 | Marzieh Zahedi | Dentist | 14453 Beach Blvd, Suite 100, Jacksonville, FL 32250 | 2007-03-14 |
| 1780734251 | Jila J Mahajan | Dentist | 4495 Roosevelt Blvd Ste 111, Jacksonville, FL 32210-3382 | 2007-01-10 |
| 1558467498 | Barry P Setzer Dds and Stephen D Cochran Dmd Pa | Dentist | 8355 Bayberry Road, Jacksonville, FL 32256 | 2006-09-16 |
| 1912014937 | Pediatric Smiles, Inc | Dentist | 2262 Dunn Ave, Ste 4, Jacksonville, FL 32218 | 2006-08-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on DR. STEPHEN DUANE COCHRAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.