JOHN CODD (NPI# 1124066550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124066550 |
| Entity Type | Individual |
| Full Name | JOHN CODD |
| Credential | MD |
| Practice Address |
126 Southarm Dr Saint Louis MO 63122-4658 |
| Practice Telephone | 3148221938 |
| Practice Fax Number | 3146982838 |
| Mailing Telephone | 3148221938 |
| Mailing Fax Number | 3146982838 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036052808 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP MEDICARE | 207988 | 01 |
| IL | RR GROUP NUMBER | CG2264 | 01 |
| IL | RAILROAD MEDICARE | P00299003 | 01 |
| IL | BCBS | 04132028 | 01 |
| IL | 0283463021 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649669367 | John Codd | Social Worker | 3759 N Ravenswood Ave, Suite 133, Chicago, IL 60613-3571 | 2015-01-19 |
| Street Address |
126 SOUTHARM DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1578634226 | Nabil A Munfakh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11155 Dunn Rd Ste 209e, Ste 209e, Saint Louis, MO 63136-6149 | 2006-11-13 |
| 1649355355 | Michael C Murphy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3009 N Ballas Rd Ste 150d, Saint Louis, MO 63131-2322 | 2006-10-25 |
| 1972614576 | Nicholas Kouchoukos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3023 N Ballas Rd Ste 150d, Saint Louis, MO 63131-2319 | 2006-08-31 |
| 1780636571 | Pirooz Eghtesady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl Ste 5s50, Ste 5s50, Saint Louis, MO 63110-1002 | 2006-05-17 |
| 1134788136 | Chawannuch Ruaengsri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-12 |
| 1639606106 | Tsuyoshi Takahashi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-05-16 |
| 1518333558 | Orlando Petrucci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl, Ste 5s50, Saint Louis, MO 63110-1002 | 2015-08-13 |
| 1609131879 | William Arthue Gay Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Suite 3108 Queeny Tower, Saint Louis, MO 63110-1003 | 2012-07-12 |
| 1396005211 | Akinobu Itoh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2012-05-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on JOHN CODD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.