John Codd
Cardiothoracic Vascular Surgeon
126 Southarm Dr
Saint Louis
, Missouri 63122-4658
John Codd
Cardiothoracic Vascular Surgeon
126 Southarm Dr
Saint Louis
, Missouri 63122-4658
(314) 698-2838
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- John Codd
- 126 Southarm Dr
- Saint Louis, MO
- Zip : 63122-4658
- Fax : (314) 698-2838
- Phone : (314) 822-1938
Second Address
- John Codd
- 126 Southarm Dr
- Saint Louis, MO
- Zip : 63122-4658
- Fax : (314) 698-2838
- Phone : (314) 822-1938
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 036052808 | IL |
National Provider Identifier
| NPI | 1124066550 |
|---|---|
| Provider Name | John Codd |
| First Address | Saint Louis, MO 63122-4658 |
| Second Address | Saint Louis, MO 63122-4658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2006 |
| Last Update Date | 04/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0283463021 | (05) | IL |
| 04132028 | BCBS (01) | IL |
| 207988 | GROUP MEDICARE (01) | IL |
| A09813 | (02) | IL |
| CG2264 | RR GROUP NUMBER (01) | IL |
| P00299003 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.