Derek G Cody (NPI# 1033382411, PAC ID# 4385823012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1033382411 |
| PAC ID by PECOS | 4385823012 |
| Professional Enrollment ID | I20161017000943 |
| Full Name | Derek G Cody |
| Organization Legal Name | CRYSTAL CLINIC, INC. |
| Address |
437 Portage Trail Cuyahoga Falls OH 44221-3227 |
| Phone Number | 3309299136 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 7214821586 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360351 | CRYSTAL CLINIC ORTHOPAEDIC CENTER |
| 360020 | SUMMA HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 | 3309299136 | CRYSTAL CLINIC, INC. |
| 437 Portage Trl, Cuyahoga Falls, OH 44221-3227 | 3309299136 | CRYSTAL CLINIC, INC. |
| Organization Legal Name | CRYSTAL CLINIC, INC. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Parker | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1782 |
| Mark M Musgrave | Orthopedic Surgery | Crystal Clinic, Inc. | 4975 Foote Rd, Suite 100, Medina, OH 44256-8748 |
| Ian M Gradisar | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Gary A Pennington | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 72 5th St Se A, Barberton, OH 44203-4201 |
| Douglas M Ehrler | Orthopedic Surgery | Crystal Clinic, Inc. | 2007 State Route 59, Kent, OH 44240-7610 |
| Thomas J Reilly Jr. | Hand Surgery | Crystal Clinic, Inc. | 1325 Corporate Dr, A, Hudson, OH 44236-4432 |
| John W Dietrich | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
| James P Kennedy | Orthopedic Surgery | Crystal Clinic, Inc. | 72 5th St Se A, Barberton, OH 44203-4201 |
| Michael R Magoline | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Curtis R Noel | Sports Medicine | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Street Address |
437 PORTAGE TRAIL |
| City | CUYAHOGA FALLS |
| State | OH |
| Zip | 44221-3227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Magoline | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Curtis R Noel | Sports Medicine | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Lewis A Diulus Iii | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Rafal Stachowicz | Hand Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Carrie Diulus | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Jovan R Laskovski | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Daniel M Myer | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Thomas F Bear | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Chance W Mitan | Physician Assistant | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Emily C Dibartolomeo | Physician Assistant | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Barnett | Nurse Practitioner | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| James Tudhope | Nurse Practitioner | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| Beth R Angelotta | Clinical Social Worker | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| Robert F Kilmer | Nurse Practitioner | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| Kim M Price | Clinical Social Worker | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| Kathleen Cockfield | Certified Clinical Nurse Specialist (cns) | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| Adel S Zaraa | Psychiatry | Portage Path Community Mental Health Center | 792 Graham Rd, Cuyahoga Falls, OH 44221-1000 |
| Mariah Southard | Chiropractic | Cuyahoga Falls Chiropractic Clinic, Inc | 748 Graham Rd, Cuyahoga Falls, OH 44221-1042 |
| Ryan Patrick Meehan | Chiropractic | Cuyahoga Falls Chiropractic Clinic, Inc | 748 Graham Rd, Cuyahoga Falls, OH 44221-1042 |
| David C George | Chiropractic | Cuyahoga Falls Chiropractic Clinic, Inc | 748 Graham Rd, Cuyahoga Falls, OH 44221-1042 |
| Find all physicians in zip 44221 | |||
| City | CUYAHOGA FALLS |
| Zip Code | 44221 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | CUYAHOGA FALLS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Derek G Cody.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.