Varghese Kodiyan PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VARGHESE KODIYAN PA

Practice address

602 Shellcracker CT
Tampa, FL 33613

Phone

(813) 245-7326

NPI assigned

May 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Varghese Kodiyan, MA, MSW, LCSW, PANPI 1326084435

Title

President

Phone

(813) 245-7326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Varghese Kodiyan, LCSW,PA

  • Clinical Social Worker
  • Plant City, FL
  • NPI 1326084435
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1003175753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SHELLCRACKER CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131214",
            "telephone_number": "813-245-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SHELLCRACKER CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-245-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARGHESE KODIYAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "KODIYAN",
        "authorized_official_first_name": "VARGHESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-245-7326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MSW, LCSW, PA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Vargas, MD
• Jorge J Vargas
• Richard Brian Vargas, PA-C
• Sophia Vargas
• Tania Cristina Vargas, M.S.
• Anuksha Rosy Varghese, MD
• Koshy Varghese, PTA
• Kripa Varghese
• Rojan Mathew Varghese
• Roy Varghese

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.