Paul I. Kosko, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7328 Issued in MS

Practice address

1503 Strong Ave
Greenwood, MS 38930-4036

Phone

(662) 453-1133

Fax

(662) 455-9109

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenwood Leflore Hospital

  • Surgery Physician
  • Greenwood, MS
  • NPI 1184683542
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1396766291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 STRONG AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304036",
            "telephone_number": "662-453-1133",
            "fax_number": "662-455-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 STRONG AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304036",
            "telephone_number": "662-453-1133",
            "fax_number": "662-455-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKO",
        "first_name": "PAUL",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118920",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ko, Michael
• Michael Kim Ko, M.D.
• Lisa Kornegay
• Kos Billing Service
• Kosko Eye Clinic, PA
• Kyle Jacob Kringle, DMD
• Renita Ann Kyles, PCMHT
• L & G Pharmacy, Inc.
• La Personal Care Services, LLC
• La Respite, LLC

• Ophthalmology Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.