Cody Smith
Surgery in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1770044166
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1770044166
- Entity type
- Individual (NPI-1)
- Name
- Cody Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD500003413 | DC | Yes |
Practice location
13400 E Shea BlvdScottsdale, AZ 85259-5452
Phone 480-301-8000
Mailing address
13400 E Shea BlvdScottsdale, AZ 85259-5452
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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