John W. Kosko (NPI# 1104920511, PAC ID# 1951218965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104920511 |
| PAC ID by PECOS | 1951218965 |
| Professional Enrollment ID | I20080508000118 |
| Full Name | John W. Kosko |
| Organization Legal Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Address |
1300 Anne Nwst Bemidji MN 56601-5103 |
| Phone Number | 2187519746 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5597725168 |
| Number of Group Practice Members | 189 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240100 | SANFORD MEDICAL CENTER BEMIDJI |
| 241328 | SANFORD BAGLEY MEDICAL CENTER |
| 241301 | LAKEWOOD HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1233 34th St Nw, Bemidji, MN 56601-5112 | 2183335522 | SANFORD HEALTH OF NORTHERN MINNESOTA |
| 1300 Anne Nwst, Bemidji, MN 56601-5103 | 2187519746 | SANFORD HEALTH OF NORTHERN MINNESOTA |
| 1300 Anne St Nw, Bemidji, MN 56601-5103 | SANFORD HEALTH OF NORTHERN MINNESOTA | |
| 1611 Anne Nwst, Bemidji, MN 56601-5114 | 2183332020 | SANFORD HEALTH OF NORTHERN MINNESOTA |
| 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2183335000 | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Organization Legal Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Physicians | 210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jarad Syrstad | Physical Therapy | Sanford Health of Northern Minnesota | 106 5th St S, Walker, MN 56484-2282 |
| Patrick F Wichmann | Nurse Practitioner | Sanford Health of Northern Minnesota | 1705 Anne St Nw, Bemidji, MN 56601-6151 |
| Mitchell L Wyffels | Orthopedic Surgery | Sanford Health of Northern Minnesota | 614 Michigan Ave W, Walker, MN 56484-2276 |
| Nichole J Hassebroek | Nurse Practitioner | Sanford Health of Northern Minnesota | 203 4th St Nw, Bagley, MN 56621-8305 |
| Brian S Paramore | Nurse Practitioner | Sanford Health of Northern Minnesota | 22 Elm St Sw, Clearbrook, MN 56634-0067 |
| Giridhar Guntreddi | Pediatric Medicine | Sanford Health of Northern Minnesota | 1656 Central W St, Bagley, MN 56621-4357 |
| James Daniel Dewar | Interventional Cardiology | Sanford Health of Northern Minnesota | 1300 Anne St Nw, Bemidji, MN 56601-5103 |
| Michael T Hill | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Jennifer Ann Fraik | Nurse Practitioner | Sanford Health of Northern Minnesota | 1611 Anne Nwst, Bemidji, MN 56601-5114 |
| Ragna Adair Godtland | Optometry | Sanford Health of Northern Minnesota | 506 Beltrami Ave Nw, Bemidji, MN 56601-3010 |
| Street Address |
1300 ANNE NWST |
| City | BEMIDJI |
| State | MN |
| Zip | 56601-5103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachariah Kvidt | Physical Therapy | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| Shaun P Myre | Physical Therapy | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| James A Molde | Optometry | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| Ruth D Hoover | Physical Medicine and Rehabilitation | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| John Jk Loh | Radiation Oncology | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| Patrick J Moriarty | Orthopedic Surgery | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| Courtney Anne Hill | Otolaryngology | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| Matthew A Hallanger | Emergency Medicine | Sanford Health of Northern Minnesota | 1300 Anne Nwst, Bemidji, MN 56601-5103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Hill | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Kimberly Js Avenson | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Julie L Paulson | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Megan S Hansen | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Sarah C Weinzierl | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Catherine A Sorensen | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Tami D Lindell | Nurse Practitioner | 702 5th St Nw, Bemidji, MN 56601-2976 | |
| Tamara Lonelle Mason | Clinical Social Worker | 522 Beltrami Ave Nw, Suite 108, Bemidji, MN 56601-3002 | |
| Ragna Adair Godtland | Optometry | Sanford Health of Northern Minnesota | 506 Beltrami Ave Nw, Bemidji, MN 56601-3010 |
| Diane M Pittman | Emergency Medicine | 514 Beltrami Ave Nw, Suite 102, Bemidji, MN 56601-3010 | |
| Find all physicians in zip 56601 | |||
| City | BEMIDJI |
| Zip Code | 56601 |
| Specialty | UROLOGY |
| City + Specialty | BEMIDJI + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.