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Cody S. Paul

Student in an Organized Health Care Education/Training Program

Student, Health Care

3065 Arlington Ave, Toledo, OH 43614-2570

PECOS Enrollment

This provider is enrolled in PECOS as CODY PAUL.

Based on the most recent information from CMS, provider Cody S. Paul is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1447909205
Provider Type
Individual
Full Name
Paul, Cody S.
Gender
Male

Sole Proprietor
Yes
Enumeration Date
3/21/2022
Last Updated
6/6/2023

Contact Information

Practice Location

3065 Arlington Ave, Toledo, OH 43614-2570

(419) 383-5090

(419) 383-3596

Mailing Location

36475 Five Mile Rd, Livonia, MI 48154-1971

(734) 655-4800

(734) 655-2911

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Cody S. Paul

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Young, Alexander

Alyosif, Mohammed Abdulaziz A

Pourturk, Juyan Lotfali

Abdelrahman, Ahmad

Gao, Eric Jiayun

Shadid, Rana Mohammad

Alger, Marc Albert

Falaki, Adesola

Alexander, Jacob Sidney

Labbad, Murad Mikhail