Christopher Lee Cody, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G30893 Issued in CA

Practice address

2800 Harris St
Eureka, CA 95503-4809

Phone

(707) 445-8416

Fax

(707) 445-4182

NPI assigned

Jun 24, 2005

Last updated

Nov 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eureka Pediatrics Medical Practice

  dba Eureka Pediatrics McKinleyville Office

  • Pediatric Adolescent Medicine Physician
  • McKinleyville, CA
  • NPI 1669775730
  NPD (past)
• Eureka Pediatrics Medical Practice

  • Pediatric Adolescent Medicine Physician
  • Eureka, CA
  • NPI 1881706380
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1629074570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034809",
            "telephone_number": "707-445-8416",
            "fax_number": "707-445-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034809",
            "telephone_number": "707-445-8416",
            "fax_number": "707-445-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G30893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G308930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Pathology Medical Associates, Inc
• Jessica C Coats
• Randolph Coats, LMFT
• Luther F Cobb, M.D.
• Terry L Coddington, CATC
• Kris Coffman
• Jacqueline Renee Coghill
• Jenner Cohune, MFTI
• Aharin Coke
• Blake Nicole Coke, M.F.T.I.

• Pediatrics Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.