CODY PAUL CARTER DO NPI 1174012132

NPI Information

  • NPI: 1174012132
  • Provider Name: CODY PAUL CARTER, DO
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2900 BRADFORD ST NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 885-5000

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NPI Details

Cody Paul Carter, DO is an interventional cardiology internal medicine in Grand Rapids, MI. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Cody Paul Carter, DO NPI is 1174012132. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 BRADFORD ST NE
GRAND RAPIDS, MI
ZIP 49525-427
Phone: (616) 885-5000
Fax: (616) 885-5020

The NPI 1174012132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2018 and was last updated on 8/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine34.014756OHIONo
2207RI0011XInternal MedicineInterventional Cardiology5101028747MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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