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

Dr. Cody W Petrie, MD

Individual provider Emergency Medicine Physician · NPI 1063919173

Dr. Cody W Petrie, MD is an Emergency Medicine in Phoenix, Arizona. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2018, 8 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
AZ
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1320 N 10th St Ste B
Phoenix, AZ 85006-2710
Phone: (602) 839-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 62021 (AZ)

Record details

NPI number1063919173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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