PARESH SUBASHCHANDRA GHODGE (NPI# 1427158427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427158427 |
| Entity Type | Individual |
| Full Name | PARESH SUBASHCHANDRA GHODGE |
| Credential | MD |
| Practice Address |
8100 W 78th St Ste 230 Edina MN 55439-2570 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9529469777 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
52448 | MN | Allopathic & Osteopathic Physicians |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
52448 | MN | Ambulatory Health Care Facilities |
| Street Address |
8100 W 78TH ST STE 230 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646853 | Vinton Douglas Pierce Jr. | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2006-02-02 |
| 1720547920 | Leah Nicole Agneberg | Physician Assistant | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2019-03-18 |
| 1275090680 | Molly Mae Giebel | Physician Assistant | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2019-02-22 |
| 1891201984 | Madeline K Johnson | Physician Assistant | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2017-12-27 |
| 1720481245 | Courtney L Duffy | Physician Assistant | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2014-09-29 |
| 1801239249 | Joseph Denis Schirmers | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2013-04-16 |
| 1780942631 | John David Breen | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439 | 2012-04-29 |
| 1306137047 | Bishoy Gad | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2011-04-28 |
| 1508099656 | Allina Health System | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2009-08-24 |
| 1922131119 | Maureen Ann Torney | Occupational Therapist | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2007-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295027514 | A B M Masudur Rahman | Family Medicine | 4010 W 65th St, Edina, MN 55435-1706 | 2011-05-04 |
| 1225354947 | Nathan George Butler Waibel | Family Medicine | 6363 France Ave S, Suite 525, Edina, MN 55435-2129 | 2010-04-20 |
| 1497830319 | David E Olson | Family Medicine | 4010 W 65th St, Edina, MN 55435-1706 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239361 | David Ian Smith | Family Medicine | 516 15th Ave Se Ste 190e, Minneapolis, MN 55455-0130 | 2011-05-10 |
| 1306163571 | Maria Christine Ryan | Family Medicine | 15450 Highway 7 Ste 125, Minnetonka, MN 55345-3522 | 2010-04-28 |
| 1659437267 | Peter Swann | Family Medicine | 1400 Corporate Center Curv Ste 200, Eagan, MN 55121-1372 | 2006-12-28 |
| 1275557886 | Odom Sports Medicine, P.a. | Family Medicine | 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 | 2006-07-27 |
| 1790739092 | Ronald Wayne Hanson Jr. | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2006-05-20 |
| 1669423950 | Suzanne S Hecht | Family Medicine | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454-1404 | 2006-05-12 |
| 1295231702 | Rachel Kwiatkowski | Family Medicine | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-04-03 |
| 1255793261 | Arie Degrio | Family Medicine | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2016-03-28 |
| 1437525292 | Orthocure LLC | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2015-08-17 |
| 1871974022 | Mark Cipriani Jr. | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.