Koski Stark Ghodge LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22922 Issued in MN

Legal business name

KOSKI STARK GHODGE LLC

Practice address

8014 Highway 55 # 515
Golden Valley, MN 55427-4712

Phone

(763) 200-1185

Fax

(763) 374-3201

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Paresh S Ghodge, MDNPI 1427158427

Title

Owner

Phone

(205) 413-7893

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paresh Subashchandra Ghodge, MD

  • Sports Medicine (Family Medicine) Physician
  • Edina, MN
  • NPI 1427158427
  NPD Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1134640477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 HIGHWAY 55 # 515",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274712",
            "telephone_number": "763-200-1185",
            "fax_number": "763-374-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 HIGHWAY 55 # 515",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274712",
            "telephone_number": "763-200-1185",
            "fax_number": "763-374-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSKI STARK GHODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "GHODGE",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-413-7893",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya L Knudson
• Olivia Marie Kock
• Mollie Jean Kohler, LICSW
• Jane Elizabeth Kommer, LMFT
• Emma Kopp, MA
• Dayse Koski, LICSW
• Michelle A Kosmak, LICSW
• Nicole Kraemer, PT
• Elizabeth Jean Krebsbach
• Rebecca Ann Krenz, LMFT

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.