DAVID T KOON MD NPI 1619954377

NPI Information

NPI: 1619954377
Provider Name: DAVID T KOON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
123 MAIN ST
SUMMERTON, SC
ZIP 29148
Phone: (803) 485-2240
Get Directions

David T Koon, MD is a family medicine in Summerton, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. David T Koon, MD NPI is 1619954377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 MAIN ST
SUMMERTON, SC
ZIP 29148
Phone: (803) 485-2240
Fax: (803) 485-2219

The enumeration date for this NPI number is 12/23/2005 and was last updated on 11/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		19651	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7161	OTHER	SOUTH CAROLINA	MEDICARE
2	7382016	OTHER	SOUTH CAROLINA	AETNA
3	196512	MEDICAID	SOUTH CAROLINA
4	A7980	OTHER	SOUTH CAROLINA	MEDCOST
5	0141069	OTHER	SOUTH CAROLINA	CAROLINA CARE
6	F89192	MEDICARE UPIN
7	5161	OTHER	SOUTH CAROLINA	COMPANION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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