Cody Brad Mickelsen, MD
Cody Brad Mickelsen, MD is an Anesthesiology in Providence, Utah. Graduated from University of Vermont College of Medicine in 2013, 13 years ago. Practices with Interwest Anesthesia Associates LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 13
- Trained at
- University of Vermont College of Medicine
- Licensed in
- UT
- In the registry since
- 2009
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
560 W 465 N Ste 604Providence, UT 84332-8006
Phone: (435) 753-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 9806425-1205 (UT) |
|---|
Record details
| NPI number | 1013159003 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 6, 2009 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 560 W 465 N Ste 604, Providence, UT 84332-8006 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduated | 2013 (13 years in practice) |
| Group practice | Interwest Anesthesia Associates Llc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Providence
-
Daniel S. Heath, DO
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Blain Chaise Housley, MD
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Interwest Anesthesia Associates LLC
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Robert William Pedro Lyday, DO
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Wesley S Mortensen, MD
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Shawn M Nelson, MD
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Dr. Lindsay Neal Oberg, DO
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600
-
Jacob Robinson
560 W 465 N Ste 604, Providence, UT 84332-8006 · (435) 753-1600