Provider Demographics
NPI:1013413277
Name:STEPHENS, CODY BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CODY
Middle Name:BENJAMIN
Last Name:STEPHENS
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 1:3188 BELLEVUE AVE SUITE E688
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0761
Mailing Address - Country:US
Mailing Address - Phone:513-558-6180
Mailing Address - Fax:
Practice Address - Street 1:3188 BELLEVUE AVE SUITE E688
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0761
Practice Address - Country:US
Practice Address - Phone:513-558-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program