Individual provider Active NPI

Dana Jo Cochrane - Hoekstra, P.A.

  • Physician Assistant
  • Norton Shores, MI
National Provider Identifier
1295749463
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003695 Issued in MI
Practice address
131 W Seaway Dr
Suite 200
Norton Shores, MI 49444-3759
Phone
(231) 375-8065
Fax
(231) 375-8063
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003695 MI Primary

Addresses

Primary practice location

131 W Seaway Dr
Suite 200
Norton Shores, MI 49444-3759

Mailing address

131 W Seaway Dr
Suite 200
Norton Shores, MI 49444-3759
Phone (231) 375-8065

Other identifiers 1

IdentifierTypeStateIssuer
5601003695OtherMISTATE LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000385 MI Practitioner - Physician Assistant 3971603515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003695MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Group of Muskegon CurrentSince May 1, 2014 Accepting new patients
Crossroads of Muskegon , LLC Past Accepting new patients
Harbour Towne Counseling and Psychiatry, PLLC Physician Assistant PastSince Feb 1, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1295749463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W SEAWAY DR",
            "address_2": "SUITE 200",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443759",
            "telephone_number": "231-375-8065",
            "fax_number": "231-375-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W SEAWAY DR",
            "address_2": "SUITE 200",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443759",
            "telephone_number": "231-375-8065",
            "fax_number": "231-375-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRANE - HOEKSTRA",
        "first_name": "DANA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "5601003695",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.