KODY MEDICAL PC
NPI 1033482435
General Practice in Phoenix, AZ

Q: What is Kody Medical PC's NPI number?

The NPI number for Kody Medical PC is 1033482435. It was assigned to this organization in the NPPES registry on February 15, 2012.

Q: What is Kody Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kody Medical PC was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2012

11627 N 12TH PL, PHOENIX, AZ 85020(602) 799-2133(602) 997-1418 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kody Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODY MEDICAL PC (NPI 1033482435) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since February 2012. The organization lists Mark Alexander Mathurin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033482435

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameKODY MEDICAL PC

Location Address11627 N 12TH PLPhoenix, AZ 85020-1222

Mailing Address11627 N 12th PlPhoenix, AZ 85020-1222 · (602) 799-2133 · Fax (602) 997-1418

Phone(602) 799-2133

Fax(602) 997-1418

Organization SubpartNo

Authorized OfficialMark Alexander MathurinCeo · (602) 799-2133

Enumeration DateFebruary 15, 2012

Last NPPES UpdateNovember 2, 2012

✔ NPI 1033482435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AZ · 23700

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

11627 N 12TH PL, Phoenix, AZ 85020

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Other Identifiers 1

Other23700AZ · Az License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kody Medical PC's NPI number?

The NPI number for Kody Medical PC is 1033482435. It was assigned to this organization in the NPPES registry on February 15, 2012.

Where is Kody Medical PC located?

Kody Medical PC is located at 11627 N 12th Pl, Phoenix, AZ 85020. The listed phone number is (602) 799-2133.

What is Kody Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kody Medical PC was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.