JUSTIN COCHRANE (NPI# 1487940714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487940714 |
Entity Type | Individual |
Full Name | JUSTIN COCHRANE |
Credential | D.O |
Practice Address |
1919 Lincoln Way Ste 415 Coeur D Alene ID 83814 |
Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
Practice Telephone | 2086254595 |
Practice Fax Number | 2086254596 |
Mailing Telephone | 2086255085 |
Mailing Fax Number | 2086255731 |
Enumeration Date | 2011-06-24 |
Last Update Date | 2019-06-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
O0875 | ID | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
104 W 5th Ave Ste 200w, Spokane, WA 992044803 | 5097443969 |
Street Address |
1919 LINCOLN WAY STE 415 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326271032 | Ellee S Reichert | Nurse Practitioner | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2009-08-27 |
1851869200 | Britni Turkenburg | Physician Assistant | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2018-11-04 |
1114393618 | Krista Tickemyer | Registered Nurse | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2015-08-19 |
1245665660 | Matthew Lute | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2013-09-04 |
1124312376 | David Henrik Johnson | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2011-06-06 |
1528351954 | Christopher Michael Wood | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2011-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
1962495283 | Harold G Preiksaitis | Internal Medicine | 1607 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2476 | 2005-08-23 |
1245665660 | Matthew Lute | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2013-09-04 |
1124312376 | David Henrik Johnson | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2011-06-06 |
1528351954 | Christopher Michael Wood | Internal Medicine | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 | 2011-05-18 |
1306003561 | Kevin Robert Webb | Internal Medicine | 1919 Lincoln Way, Ste 415, Coeur D Alene, ID 83814-2527 | 2008-05-16 |
1619029824 | Kutteruf and Robinson Md Pa | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2462 | 2007-01-17 |
1629147103 | Gavin S Young | Internal Medicine | 1919 Lincoln Way, Suite 415, Coeur D Alene, ID 83814-2527 | 2006-11-07 |
1386713881 | Michael W James | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-11-07 |
1548339047 | R Randy Hopkins | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2462 | 2006-11-07 |
Find all providers in COEUR D ALENE |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.