DR. DAVID EDWIN KOON JR. (NPI# 1073577037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073577037 |
| Entity Type | Individual |
| Full Name | DR. DAVID EDWIN KOON JR. |
| Credential | M.D. |
| Practice Address |
300 Palmetto Health Pkwy Ste 201 Columbia SC 29212-1762 |
| Mailing Address |
Po Box 22265 Belfast ME 04915-4473 |
| Practice Telephone | 8034346812 |
| Practice Fax Number | 8034347306 |
| Mailing Telephone | 8032967846 |
| Mailing Fax Number | 8032969699 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16729 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE DME | 0534520001 | 01 |
| SC | 167296 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Medical Park Rd, Suite 404, Columbia, SC 292036808 | 8034346812 | 8034347306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205134491 | David Koon | Pharmacist | 9055 Katy Fwy # 424, Houston, TX 77024-1624 | 2011-03-11 |
| 1770699720 | David E Koon Sr. | Family Medicine | 6439 Garners Ferry Rd, Wjb Dorn Va Medical Center, Columbia, SC 29209-1638 | 2006-08-22 |
| 1619954377 | David T Koon Jr. | Family Medicine | 123 Main St, Summerton, SC 29148 | 2005-12-23 |
| 1528043205 | David C Koon | Physical Medicine & Rehabilitation | 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 | 2005-12-14 |
| Street Address |
300 PALMETTO HEALTH PKWY STE 201 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123867 | Alexander Anderson | Physical Therapist | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2020-04-21 |
| 1275063489 | Alexandra Catherine Roemer | Physical Medicine & Rehabilitation | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1578054383 | Michael Jefferson Spitnale | Orthopaedic Surgery | Orthopedic Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-29 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1053722652 | Thomas Jenner Huber | Orthopaedic Surgery | 3250 Pulaski Hwy, Columbia, TN 38401-8516 | 2014-05-16 |
| 1437597325 | Hari O Gupta | Orthopaedic Surgery | 10700 Charter Dr Ste 140, Columbia, MD 21044-3631 | 2013-06-13 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| Find all providers in COLUMBIA | ||||
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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.