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MR. CODY DONALD SPONHOLZ
NPI 1134795685
Physician Assistant - Surgical in Geneva, NY

Active since June 03, 2021PECOS Enrolled
875 PRE EMPTION RD, GENEVA, NY 14456(315) 789-5061 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2021, Nov 9, 2021, Jun 3, 2021 (3 updates tracked since 2021).

About Mr. Cody Donald Sponholz NPPES

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

MR. CODY DONALD SPONHOLZ (NPI 1134795685) is an individual surgical provider in Geneva, New York, licensed in New York (027251) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134795685
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CODY DONALD SPONHOLZ
Location Address875 PRE EMPTION RDGeneva, NY 14456-2042
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (315) 789-5061
Phone(315) 789-5061
Sole ProprietorYes
Enumeration DateJune 3, 2021
Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1134795685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 027251
875 PRE EMPTION RD, Geneva, NY 14456
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Cody Donald Sponholz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MELISSA LYNN WASSINK MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 789-5061
DR. DAVID CYWINSKI MD
Internal Medicine (Sports Medicine)
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 798-5061
ERIN KEARNS PA
Physician Assistant (Surgical)
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 789-5061
DR. PETER MICHAEL STASKO DPM
Podiatrist (Foot & Ankle Surgery)
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 789-5061
TIMOTHY GERARD MALIA M.D.
Family Medicine
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 759-5319
FINGER LAKES BONE & JOINT LLP
Orthopaedic Surgery (Sports Medicine)
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 789-5061
MISS CARRIE CARISSA AKIN
Physician Assistant (Surgical)
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 789-5061
SEAN MICHAEL CHILDS MD
Orthopaedic Surgery
875 PRE EMPTION RD
GENEVA, NY 14456
Ontario County (315) 789-5061

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 Cody Sponholz's NPI number?

The NPI number for Cody Sponholz is 1134795685. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Cody Sponholz located?

Cody Sponholz practices at 875 Pre Emption Rd, Geneva, NY 14456. The listed phone number is (315) 789-5061.

What is Cody Sponholz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Cody Sponholz enrolled in Medicare?

Yes. Cody Sponholz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Sponholz was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.