Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Codey Todd Pedersen, DO

Individual provider Emergency Medicine Physician · NPI 1306308218

Dr. Codey Todd Pedersen, DO is an Emergency Medicine in Flagstaff, Arizona. Qualified in 2021, 5 years ago. Practices with Flagstaff Emergency Physicians, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001
Phone: (928) 779-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 — (928) 263-4466

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 010550 (AZ)

Record details

NPI number1306308218
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address1200 N Beaver St, Flagstaff, AZ 86001-3118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Flagstaff Emergency Physicians — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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