DR. DAVID SONG KO (NPI# 1356720049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356720049 |
| Entity Type | Individual |
| Full Name | DR. DAVID SONG KO |
| Credential | DO |
| Practice Address |
100 Health Center Dr Bridgewater VA 22812-9511 |
| Practice Telephone | 5408282634 |
| Practice Fax Number | 5408286911 |
| Mailing Telephone | 5408282634 |
| Mailing Fax Number | 5408286911 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102205469 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983734 | David Y. Ko | Chiropractor | 4024 Church St, Skokie, IL 60076-1757 | 2011-03-16 |
| 1114489218 | David Ko | Behavior Technician | 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 | 2019-04-05 |
| 1639682156 | David Young Ko | Counselor | 1202 Morena Blvd Ste 300, San Diego, CA 92110-3844 | 2017-11-06 |
| 1447665286 | David Ko | Social Worker | 800 Cummings Ctr, Suite 364-u, Beverly, MA 01915-6175 | 2014-06-30 |
| 1932337839 | David Ko | Family Medicine | 6053 Main St Ste 130, The Colony, TX 75056-4706 | 2009-06-30 |
| 1689683690 | David Hyunin Ko | Internal Medicine | 477 N El Camino Real Ste A208, Encinitas, CA 92024-1329 | 2006-08-07 |
| 1932143963 | David Y. Ko | Psychiatry & Neurology | 1520 San Pablo St, Suite 3000, Los Angeles, CA 90033-5310 | 2006-06-16 |
| 1568405470 | David B Ko | Internal Medicine | 39000 Bob Hope Dr, K304, Rancho Mirage, CA 92270-3221 | 2006-06-14 |
| 1023007622 | David Ko | Pediatrics | 125 Walker St Fl 2, New York, NY 10013 | 2005-10-17 |
| Street Address |
100 HEALTH CENTER DR |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1578116042 | Maria Josephina Circosta | Registered Nurse | 100 Health Center Dr, Bridgewater, VA 22812-9511 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1104472869 | Ke'ara Denae Tucker | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812 | 2019-08-16 |
| 1265957864 | Shelby Paige Gregory | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-04 |
| 1104341841 | Maria Rector | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-03 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| Find all providers in zip 22812 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801342902 | Hunterdon Primary Care, PC | Family Medicine | 250 Route 28, Suite 105b, Bridgewater, NJ 08807-1979 | 2016-08-29 |
| 1417309881 | Dharti J Panara | Family Medicine | 1200 Route 22 Ste 16, Bridgewater, NJ 08807-2943 | 2016-07-08 |
| 1306104179 | Donald Herbert Wernsing | Family Medicine | 19 Argonne Farm Dr, Bridgewater, NJ 08807-1480 | 2012-04-30 |
| 1083645923 | T.peter Carlton Jameson | Family Medicine | 70 Blueberry Hill Rd, Bridgewater, CT 06752-1340 | 2006-07-06 |
| 1356372080 | Jill S. Hup | Family Medicine | 465 Union Ave Ste B, Bridgewater, NJ 08807 | 2006-07-05 |
| 1275576910 | John P Kripsak | Family Medicine | 766 Us Highway 202/206 North, Suite 1, Bridgewater, NJ 08807-1704 | 2006-06-13 |
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1033198494 | Christina Marie Medrano | Family Medicine | 55 Corporate Dr, Mail Stop 55c-b-100a, Bridgewater, NJ 08807-1265 | 2006-01-13 |
| 1174500094 | Rufus C Huffman | Family Medicine | 200 High St, Bridgewater, VA 22812-1114 | 2005-12-30 |
| 1083616841 | Jeanne Mitterando | Family Medicine | 766 Us Highway 202/206, Suite One, Bridgewater, NJ 08807-1777 | 2005-08-11 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 22812 |
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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.