Provider Demographics
NPI:1427094267
Name:COADY, MICHAEL ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:COADY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 E HARVARD AVE STE 550
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-7000
Mailing Address - Country:US
Mailing Address - Phone:303-269-2920
Mailing Address - Fax:032-692-9213
Practice Address - Street 1:950 E HARVARD AVE STE 550
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7000
Practice Address - Country:US
Practice Address - Phone:303-269-2920
Practice Address - Fax:032-692-9213
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI11857208G00000X
CODR.73872208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7057997Medicaid
RI7057997Medicaid
007057997Medicare ID - Type Unspecified