OrganizationActive
Kody Medical PC
NPI 1033482435 · General Practice Physician · Phoenix, AZ
Kody Medical PC is a General Practice Physician organization in Phoenix, AZ (NPI 1033482435).
Provider details
- NPI number
- 1033482435
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Mathurin, Ceo(602) 799-2133
- License
- 23700 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11627 N 12th Pl
Phoenix, AZ 85020-1222
Phone: (602) 799-2133
Fax: (602) 997-1418
Street-level locationGet directions
Mailing address
11627 N 12th Pl
Phoenix, AZ 85020-1222
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2012-11-02
Frequently asked questions
- What is Kody Medical PC's NPI number?
- Kody Medical PC's National Provider Identifier (NPI) is 1033482435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kody Medical PC?
- Kody Medical PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Kody Medical PC located?
- Kody Medical PC's practice location on file with NPPES is 11627 N 12th Pl, Phoenix, AZ 85020-1222.
- What is Kody Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Kody Medical PC is (602) 799-2133.
- Who is the authorized official for Kody Medical PC?
- The authorized official listed on Kody Medical PC's NPPES record is Mark Mathurin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kody Medical PC's NPI active?
- Yes — Kody Medical PC's NPI (1033482435) is active in the NPPES registry as of the last update on 2012-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.